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JEANIE MICKELSEN, LCPC
LCPC
Social Worker
NPI: 1710510136IndividualAccepts Medicare
Specialties, Licenses & Credentials
Social WorkerPrimary
Social Worker
Code: 104100000X
CMS Specialties
PrimaryMENTAL HEALTH COUNSELOR
Education
OTHER
Class of 2013
Contact & Hours
- Address
- 1802 S MATTIS AVE
CHAMPAIGN, IL 61821 - Phone
- (217) 383-1850
Quick Facts
- NPI
- 1710510136
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 13
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