Individual
RICHARD W MECHIKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
800 5TH ST STE 200, SIOUX CITY, IA 51101-1324
(712) 234-2300
(712) 234-2392
Mailing address
800 5TH ST STE 200, SIOUX CITY, IA 51101-1324
(712) 234-2300
(712) 234-2392
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17099
IA
Other
Enumeration date
06/07/2018
Last updated
06/16/2018
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