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Individual
RICHARD MIETZ
Active
Individual
RICHARD MIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0167621
NM
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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