Kevin Misiakiewicz
Counselor, Addiction (Substance Use Disorder) in Middleburg Heights, OH. Individual provider (NPI-1).
NPI number1790337889
StatusActive
Last updated in NPPESMay 3, 2022
Details
- NPI
- 1790337889
- Entity type
- Individual (NPI-1)
- Name
- Kevin Misiakiewicz
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 10, 2019
- Certification date
- May 3, 2022
- Last updated
- May 3, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | LICDC.162187 | OH | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 167782 | OH | |
| 104100000X | Social Worker | S.2207483 | OH | |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
16530 Commerce CtMiddleburg Heights, OH 44130-6316
Phone 440-989-5900
Mailing address
22001 Fairmount BlvdShaker Heights, OH 44118-4819
Phone 216-932-2800
Other practice locations
22001 Fairmount Blvd
Shaker Heights, OH 44118-4819
Shaker Heights, OH 44118-4819
Phone 216-932-2800
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All 22 Addiction (Substance Use Disorder) Counselor providers in Middleburg Heights · All 865 providers in Middleburg Heights
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