KIMBERLY MICKUS BA — BETHLEHEM (Pennsylvania), NPI 1356676944
Counselor

KIMBERLY MICKUS BA

  • Individual
  • NPI: 1356676944
  • Update: 10/15/2009
  • Address
    865 E 4TH ST , BETHLEHEM - Pennsylvania
  • Phone number: 4842219136
  • Fax: 4842219130
  • Postalcode: 180151935

KIMBERLY MICKUS - information

KIMBERLY MICKUS is a provider established in BETHLEHEM, Pennsylvania. The practitioners primary taxonomy code is: 101YM0800X . The NPI number of KIMBERLY MICKUS is 1356676944 and was assigned on 10/15/2009.

Sole proprietor? No, Entity Type 1 Provider (Individual) is not a Sole Proprietor.


KIMBERLY MICKUS - provider taxonomy: Counselor

Primary taxonomy (there can be only one per NPI record).

  • Taxonomy code: 101YM0800X

KIMBERLY MICKUS - primary Practice Address
  • Region: BETHLEHEM, Pennsylvania
  • NPI: 1356676944
  • Phone number: 4842219136
  • Fax: 4842219130
  • Postalcode: 180151935
  • Adress: 865 E 4TH ST

KIMBERLY MICKUS - mailing address
  • City: ALLENTOWN
  • State: PA
  • Postal code: 181044354
  • Phone number: 4842219136
  • Fax: 4842219130
  • Address: 2030 W TILGHMAN ST
  • Address 2: SUITE 105B