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David Mickelson, MS/LAC
Addiction (Substance Use Disorder) Counselor in Bismarck, North Dakota
NPI 1356387534

David Mickelson is an Addiction (Substance Use Disorder) Counselor based in Bismarck, ND and is specialized in Addiction (Substance Use Disorder). David Mickelson practices in Bismarck, ND and has the professional credentials of MS/LAC. The NPI Number for David Mickelson is 1356387534 and holds a License No. 1506 (North Dakota).

The current practice location address for David Mickelson is 1237 W Divide Ave, Bismarck, ND and can be reached out via phone at 701-328-8881 and via fax at 701-328-8900.

Location: 1237 W Divide Ave, Bismarck, ND, 58501-1208
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Provider Profile Details
NPI Number
1356387534
Provider Name
David Mickelson
Credential
MS/LAC
Provider Entity Type
Individual
Gender
Male
Address
1237 W Divide Ave, Bismarck, ND, 58501-1208
Phone Number
701-328-8881
Fax Number
701-328-8900
Provider Enumeration Date
06/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
023737 01 BCBS OF ND
institution
Provider Business Practice Location Address Details
Address
1237 W Divide Ave
City
State
Zip
58501-1208
Phone Number
701-328-8881
Fax Number
701-328-8900
person
Provider Business Mailing Address Details
Address
1237 W Divide Ave
City
State
Zip
58501-1208
Phone Number
701-328-8881
Fax Number
701-328-8900
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1506 (North Dakota)
Definition
Definition to come...
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