Individual
JOSHUA MIETELSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6202 TRUST DR, HOLLAND, OH 43528-8425
(419) 824-8462
Mailing address
6202 TRUST DR, HOLLAND, OH 43528-8425
(419) 824-8462
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/05/2022
Last updated
01/06/2022
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