DAVID MICKELSON MS/LAC
NPI 1356387534
Counselor - Addiction (Substance Use Disorder) in Bismarck, ND

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

Active since June 22, 2006

1237 W DIVIDE AVE, STE 5, BISMARCK, ND 58501(701) 328-8881(701) 328-8900 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About David Mickelson Ms/lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID MICKELSON MS/LAC (NPI 1356387534) is an individual addiction (substance use disorder) provider in Bismarck, North Dakota, licensed in North Dakota (1506) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1356387534

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameDAVID MICKELSONCredential: MS/LAC

Location Address1237 W DIVIDE AVE, STE 5Bismarck, ND 58501-1208

Mailing Address1237 W Divide Ave, Ste 5Bismarck, ND 58501-1208 · (701) 328-8881 · Fax (701) 328-8900

Phone(701) 328-8881

Fax(701) 328-8900

Sole ProprietorNo

Enumeration DateJune 22, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1356387534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in ND · 1506

1237 W DIVIDE AVE, Bismarck, ND 58501

Open in Google Maps ↗

Other Identifiers 1

Other023737Bcbs Of Nd

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. IGMIDIO A SANTOS MD

Psychiatry & Neurology (Psychiatry)