Individual provider · Type 1 NPI

Andrea Mikkelson, LPC

Professional Counselor · Caldwell, ID

NPI number 1821983875 Active

Practice location

211 E Logan St Ste 201
Caldwell, ID 83605-4883

Fax (208) 268-8444

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X8371762 (ID)

Professional Counselor: Definition to come...

8 other providers at this address

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About NPI 1821983875

Andrea Mikkelson, LPC's National Provider Identifier is 1821983875, issued on Jun 10, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Caldwell, ID. The record was last updated on Jun 10, 2025.