Mickelson, Bryan K

Mickelson, Bryan K is an individual health care provider with primary practice located at 120 S 17Th St , Worland WY 82401-3637. He recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Mickelson, Bryan K can be contacted via phone (307) 272-5368.

Contact Information

Primary practice address
120 S 17Th St Worland WY 82401-3637
Phone: (307) 272-5368
Fax: (307) 347-4038
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X
Behavioral Health & Social Service Providers / Clinical 103TC0700X #535 Wyoming
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1033440466
LBN Legal business name Mickelson, Bryan K
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2010
Last updated May 7th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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