Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Suzanne Ellis Mikkelson, MA

Individual provider Marriage & Family Therapist · NPI 1578740924

Suzanne Ellis Mikkelson, MA is a Marriage & Family Therapist in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2008.

Licensed in
NC
In the registry since
2008
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

114 Highland Ave
Fayetteville, NC 28305-5306
Phone: (910) 484-0176
Fax: (910) 484-5781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 904 (NC)

Record details

NPI number1578740924
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorNo
NPI enumeratedJanuary 29, 2008
Last updated in NPPESJanuary 29, 2008

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