Individual provider · Type 1 NPI

Shana Mickenham, LPC, CDCS, BHP

Mental Health Counselor · Kenai, AK

NPI number 1972089738 Active

Practice location

508 Upland St
Kenai, AK 99611-8026

Call (907) 335-7500 Map

Mailing address

PO Box 84101
Seattle, WA 98124-5401

Other practice locations

  • 206 W Rockwell Ave, Soldotna, AK 99669-7439 · (907) 335-7500

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1972089738

Shana Mickenham, LPC, CDCS, BHP's National Provider Identifier is 1972089738, issued on Jul 16, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kenai, AK. The record was last updated on Apr 13, 2026.