Individual provider · Type 1 NPI

Anthony J. Niksa, LICDC-CS, PC-CR

Addiction (Substance Use Disorder) Counselor · Mentor, OH

NPI number 1033464201 Active

Practice location

9083 Mentor Ave
Mentor, OH 44060-6462

Fax (440) 255-6348

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X913016 (OH)
Professional Counselor 101YP2500XC 1100150 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1033464201

Anthony J. Niksa, LICDC-CS, PC-CR's National Provider Identifier is 1033464201, issued on Jul 13, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mentor, OH. The record was last updated on Mar 25, 2014.