Individual
BRENDAN MIEDEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3535 FISHINGER BLVD STE 110, HILLIARD, OH 43026-2000
(712) 395-2140
Mailing address
3535 FISHINGER BLVD STE 110, HILLIARD, OH 43026-2000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
S.2411271
OH
1041C0700X
Clinical Social Worker
Primary
S.2411271
OH
Other
Enumeration date
08/20/2024
Last updated
04/22/2025
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