Ingvild Mikkelborg, MA
Counselor, Mental Health in Rimrock, AZ. Individual provider (NPI-1).
NPI number1558095067
StatusActive
Last updated in NPPESJul 11, 2022
Details
- NPI
- 1558095067
- Entity type
- Individual (NPI-1)
- Name
- Ingvild Mikkelborg
- Credential
- MA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2022
- Certification date
- Jul 11, 2022
- Last updated
- Jul 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
3090 E Coronado Trl # Az86335Rimrock, AZ 86335-5283
Phone 928-567-1322
Mailing address
190 W State Route 89a # 1157Sedona, AZ 86336-6135
Phone 928-567-1322
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