Individual provider · Type 1 NPI

Sean Alexander Mickelson, MS, LPC

Professional Counselor · Salem, OR

NPI number 1992103451 Active

Practice location

1515 Liberty St SE
Salem, OR 97302-4345

Fax (503) 468-3130

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XC6214 (OR)

Professional Counselor: Definition to come...

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About NPI 1992103451

Sean Alexander Mickelson, MS, LPC's National Provider Identifier is 1992103451, issued on Dec 16, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Salem, OR. The record was last updated on Jun 15, 2021.