Individual
MICHAEL A MIECZKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS,CADC CSAT CMAT
Contact information
Practice address
5547 55TH TER, VERO BEACH, FL 32967-2473
(336) 403-0635
Mailing address
5547 55TH TER, VERO BEACH, FL 32967-2473
(336) 403-0635
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8096
PA
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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