DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JUSTIN M. MICKLES, MS

Active Sole Proprietor

MR. JUSTIN M. MICKLES, MS is a Professional Counselor healthcare provider located in CLARKSVILLE, Tennessee. NPI 1649266388 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · CLARKSVILLE, TN

Registration Details

NPI Number
1649266388
Provider Type
Individual
Gender
Male
NPI Issued
Sep 27, 2005 (20.83823034665 yrs)
Last Updated
Dec 4, 2020
Licenses
4954 (TN)
1485 (NE)
57 (NE)
Sole Proprietor
Yes

Practice Information

Address
933 TRACY LN STE D
CLARKSVILLE, TN, 370406894
Browse TN providers · Browse ZIP 37040
Phone
9315426637
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in CLARKSVILLE, TN

Name Credential NPI
MISS MICHELLE C DEMARSILIS LCSW 1598784852
KAREN E. FREEMAN LPC-MHSP 1235242108
MRS. ANITA RANDOLPH LPS/MHSP 1306974357
BEGUM YASMIN SARWAR 1033247739
MRS. STACEY COULTER LPE 1336277003
CARLA MORGAN MILLSPAUGH 1437288644
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.