Organization
WAXWING PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY J. MIELKE DMFT, LMFT (OWNER, SUPERVISOR, THERAPIST)
(319) 382-0751
Entity
Organization
Contact information
Practice address
700 16TH ST NE STE 206, CEDAR RAPIDS, IA 52402-4665
(319) 382-0751
Mailing address
700 16TH ST NE STE 206, CEDAR RAPIDS, IA 52402-4665
(319) 382-0751
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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