Individual
DEBORAH MIKINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
64 RIDGE AVE, YOUNGSTOWN, OH 44502-1944
(330) 743-2192
Mailing address
527 N MERIDIAN RD, YOUNGSTOWN, OH 44509-1227
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.170406
OH
Other
Enumeration date
05/30/2018
Last updated
10/15/2019
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