Individual
DAVID J MIKULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW,CADC III,NCACII
Contact information
Practice address
146 E 12TH AVE, EUGENE, OR 97401-3513
(541) 342-8437
(541) 342-1639
Mailing address
1258 HIGH ST, EUGENE, OR 97401-3238
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
930203
OR
1041C0700X
Clinical Social Worker
Primary
L3369
OR
Other
Enumeration date
10/04/2006
Last updated
05/31/2012
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