Most Relevant Information
Provider Data
NPI Number: | 1003452376 |
Provider Name: | ARIEL MARIE MIKESELL CDCA |
Entity Type: | Individual |
Taxonomy Code: | 101YA0400X |
Specialty: | Counselor |
License Number: | CDCA.182357 |
Most Important Dates
Enumeration Date: | 11/21/2019 |
Last Updated: | 10/31/2023 |
Provider Practice Location
5464 BURKHARDT RD
DAYTON
OH
454312112
Practice Location Phone/Fax
Phone: | 8335104357 |
Fax: |
Provider Mailing Location
4600 MONTGOMERY RD STE 400
CINCINNATI
OH
452122600
Provider Mailing Phone/Fax
Phone: | |
Fax: |