| Doctor Name: | MARK MIKEL |
| NPI Number: | 1114153848 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 7451 |
| Business Practice Address: | 1730 Belmont Ave Parsons, KS - 673574229 |
| Business Phone Number: | 6204213770 |
| Business Fax Number: | 6204210665 |
| Mailing Address: | Po Box 258, PARSONS |
| State: | KS |
| Postal Code: | 673570258 |
| Phone Number: | 6204213770 |
| Fax Number: | 6204210665 |
| NPI Enumeration Date: | 06/09/2009 |
| NPI Last Update Date: | 05/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 7451 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |