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Mia Mickenberg, LPC
Professional Counselor in Blacksburg, Virginia
NPI 1407327034

Mia Mickenberg is a Professional Counselor based in Christiansburg, VA and is specialized in Professional. Mia Mickenberg practices in Blacksburg, VA and has the professional credentials of LPC. The NPI Number for Mia Mickenberg is 1407327034 and holds a License No. 0701008012 (Virginia).

The current practice location address for Mia Mickenberg is 106 Southpark Dr Ste C, Blacksburg, VA and can be reached out via phone at 540-376-3348.

Location: 106 Southpark Dr Ste C, Blacksburg, VA, 24073-3742
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407327034
Provider Name
Mia Mickenberg
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
106 Southpark Dr Ste C, Blacksburg, VA, 24073-3742
Phone Number
540-376-3348
Fax Number
Provider Enumeration Date
12/07/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
106 Southpark Dr Ste C
City
Blacksburg
State
Virginia
Zip
24060-6809
Phone Number
540-376-3348
Fax Number
person
Provider Business Mailing Address Details
Address
106 Southpark Dr Ste C
City
Blacksburg
State
Virginia
Zip
24060-6809
Phone Number
540-376-3348
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
0701008012 (Virginia)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
0701008012 (Virginia)
Definition
Definition to come...
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