Healthcare Provider Details

I. General information

NPI: 1740122456
Provider Name (Legal Business Name): MIKAYLA JO KARELS MS, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2026
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

824 6TH ST
HOWARD LAKE MN
55349-5646
US

IV. Provider business mailing address

PO BOX 458
HOWARD LAKE MN
55349-0458
US

V. Phone/Fax

Practice location:
  • Phone: 320-543-6847
  • Fax: 320-407-1485
Mailing address:
  • Phone: 320-543-6847
  • Fax: 320-407-1485

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCC05546
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: