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Wendy Lee Mikkelsen
Mental Health Counselor in Dallas, Oregon
NPI 1164158903

Wendy Lee Mikkelsen is a Mental Health Counselor based in Dallas, OR and is specialized in Mental Health. Wendy Lee Mikkelsen practices in Dallas, OR. The NPI Number for Wendy Lee Mikkelsen is 1164158903 and holds a License No. (Oregon).

The current practice location address for Wendy Lee Mikkelsen is 182 Sw Academy St, Dallas, OR and can be reached out via phone at 503-623-9289.

Location: 182 Sw Academy St, Dallas, OR, 97338-1158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164158903
Provider Name
Wendy Lee Mikkelsen
Credential
Provider Entity Type
Individual
Gender
Female
Address
182 Sw Academy St, Dallas, OR, 97338-1158
Phone Number
503-623-9289
Fax Number
Provider Enumeration Date
07/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
182 Sw Academy St
City
Dallas
State
Oregon
Zip
97338-1996
Phone Number
503-623-9289
Fax Number
person
Provider Business Mailing Address Details
Address
182 Sw Academy St
City
Dallas
State
Oregon
Zip
97338-1996
Phone Number
503-623-9289
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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