Mickelson, Rachel Lynn
Mickelson, Rachel Lynn is an individual health care provider with primary practice located at 2410 Grape Rd Ste 1, Mishawaka IN 46545-3015. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mickelson, Rachel Lynn can be contacted via phone (574) 243-9370.Contact Information
Primary practice address
2410 Grape Rd Ste 1
Mishawaka IN 46545-3015
Phone: (574) 243-9370
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20042493A | Indiana |
Profile Details
| NPI number | 1447558168 |
|---|---|
| LBN Legal business name | Mickelson, Rachel Lynn |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2011 |
| Last updated | Jun 27th, 2020 - about 4 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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