MRS. Miranda R Meola, LCDC III

NPI #1104239466 in Jefferson, Ohio

Provider Information

NPI Number
1104239466
Entity Type
Individual
Name
MRS. Miranda R Meola, LCDC III
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Substance Abuse Rehabilitation Facility
Credential
LCDC III
Enumeration Date
Jun 4, 2014
Last Updated
Jun 4, 2014

Practice Location

Address
1484 STATE ROUTE 46 N
Address 2
SUITE 7
State
Ohio
ZIP Code
44047-8145
Phone
(440) 624-4033

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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