Individual
JESSICA MIELKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
68 ELATI ST, DENVER, CO 80223-1542
(614) 202-7049
Mailing address
68 ELATI ST, DENVER, CO 80223-1542
(614) 202-7049
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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