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Raquel Mickelson Lpc Llc
Public Health or Welfare Agency in Flagstaff, Arizona
NPI 1871220988

Raquel Mickelson Lpc Llc is a Public Health or Welfare Agency based in Flagstaff, AZ. Raquel Mickelson Lpc Llc practices in Flagstaff, AZ. The NPI Number for Raquel Mickelson Lpc Llc is 1871220988 and holds a License No. (Arizona).

The current practice location address for Raquel Mickelson Lpc Llc is 510 E Cherry Ave, Flagstaff, AZ and can be reached out via phone at 928-225-5429.

Location: 510 E Cherry Ave, Flagstaff, AZ, 86002-1703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871220988
Provider Name
Raquel Mickelson Lpc Llc
Credential
Provider Entity Type
Organization
Address
510 E Cherry Ave, Flagstaff, AZ, 86002-1703
Phone Number
928-225-5429
Fax Number
Provider Enumeration Date
08/08/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1669007043 05 AZ
institution
Provider Business Practice Location Address Details
Address
510 E Cherry Ave
City
Flagstaff
State
Arizona
Zip
86001-4711
Phone Number
928-225-5429
Fax Number
person
Provider Business Mailing Address Details
Address
510 E Cherry Ave
City
Flagstaff
State
Arizona
Zip
86001-4711
Phone Number
928-225-5429
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
251K00000X
License No.
()
Definition
Definition to come...
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