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William Mickens, QMHP

NPI 1598198962 · on the registry since 2013 · sole proprietor

Practice

Address
5833 Richmond Tappahannock Hwy # 108
Aylett, VA 23009
Phone
(804) 387-0426

Registry record

Primary taxonomy
251S00000X
251S00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-08-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia