Doctor Name: | JILL ANN KARSH-MIKOLL |
NPI Number: | 1003998162 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 991976 |
Business Practice Address: | 10 Boulder Crescent St Suite #203c Colorado Springs, CO - 809033344 |
Business Phone Number: | 7196605351 |
Business Fax Number: | |
Mailing Address: | 10 Boulder Crescent St, Suite #203c COLORADO SPRINGS |
State: | CO |
Postal Code: | 809033344 |
Phone Number: | 7196605351 |
Fax Number: | |
NPI Enumeration Date: | 10/19/2006 |
NPI Last Update Date: | 03/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 991976 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |