Individual provider · Type 1 NPI
Wanda Ann Mixon, LGPC
Professional Counselor · Denton, MD
NPI number
1215688445
Active
Practice location
808 S 5th Ave
Denton, MD 21629-1398
Fax (833) 908-2283
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LGP10865 (MD) |
Professional Counselor: Definition to come...
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About NPI 1215688445
Wanda Ann Mixon, LGPC's National Provider Identifier is 1215688445, issued on Jan 10, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Denton, MD. The record was last updated on Jan 10, 2022.