Individual
MR. ANTHONY J. NIKSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICDC-CS, PC-CR
Contact information
Practice address
9083 MENTOR AVE, MENTOR, OH 44060-6462
(440) 255-0678
(440) 255-6348
Mailing address
9083 MENTOR AVE, MENTOR, OH 44060-6462
(440) 255-0678
(440) 255-6348
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
913016
OH
101YP2500X
Professional Counselor
C 1100150
OH
Other
Enumeration date
07/13/2012
Last updated
03/25/2014
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