Most Relevant Information
Provider Data
| NPI Number: | 1003418815 |
| Provider Name: | MICHAEL A MIECZKOWSKI MS,CADC CSAT CMAT |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 8096 |
Most Important Dates
| Enumeration Date: | 11/16/2020 |
| Last Updated: | 11/16/2020 |
Provider Practice Location
5547 55TH TER
VERO BEACH
FL
329672473
Practice Location Phone/Fax
| Phone: | 3364030635 |
| Fax: |
Provider Mailing Location
5547 55TH TER
VERO BEACH
FL
329672473
Provider Mailing Phone/Fax
| Phone: | 3364030635 |
| Fax: |