Mikkelson, Suzanne Ellis
Mikkelson, Suzanne Ellis is an individual health care provider with primary practice located at 114 Highland Ave , Fayetteville NC 28305-5306. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Mikkelson, Suzanne Ellis can be contacted via phone (910) 484-0176.Contact Information
Primary practice address
114 Highland Ave
Fayetteville NC 28305-5306
Phone: (910) 484-0176
Fax: (910) 484-5781
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 904 | North Carolina |
Profile Details
| NPI number | 1578740924 |
|---|---|
| LBN Legal business name | Mikkelson, Suzanne Ellis |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2008 |
| Last updated | Jan 29th, 2008 - about 17 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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