Mickelson, Katelyn Ann

Mickelson, Katelyn Ann is an individual health care provider with primary practice located at 100 4Th St S , Fargo ND 58103-1929. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Mickelson, Katelyn Ann can be contacted via phone (701) 234-3100.

Contact Information

Primary practice address
100 4Th St S Fargo ND 58103-1929
Phone: (701) 234-3100
Fax: (701) 234-3120
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP6215 Minnesota
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X 609P North Dakota

Profile Details

NPI number 1427431279
LBN Legal business name Mickelson, Katelyn Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2015
Last updated Mar 28th, 2022 - about 3 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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