Individual
LEONARD ROBERT MIKULSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
13 TEMPLE ST, 3RD FLOOR, QUINCY, MA 02169-5110
(617) 471-8400
Mailing address
55 FLORENCE RD, WALTHAM, MA 02453-1505
(781) 899-3242
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
207186
MA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
613
MA
Other
Enumeration date
04/19/2007
Last updated
09/11/2025
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