Shockley, Micaela D

Shockley, Micaela D is an individual health care provider with primary practice located at 5725 Loftus Ln , Savage MN 55378-2717. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Shockley, Micaela D can be contacted via phone (952) 952-6120.

Contact Information

Primary practice address
5725 Loftus Ln Savage MN 55378-2717
Phone: (952) 952-6120
Fax: (952) 952-6121
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1982300117
LBN Legal business name Shockley, Micaela D
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2023
Last updated Aug 25th, 2023 - about last year

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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