Individual
EVAN THOMAS MIKULKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA. 192321
Contact information
Practice address
45 N CANFIELD NILES RD, AUSTINTOWN, OH 44515-2343
(330) 642-8242
Mailing address
45 N CANFIELD NILES RD, AUSTINTOWN, OH 44515-2343
(330) 642-8242
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.192321
OH
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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