Individual provider · Type 1 NPI

Chaniqua Desiree Mazyck, BA

Counselor · Chesterfield, SC

NPI number 1396261012 Active

Practice location

207 Commerce Ave
Chesterfield, SC 29709

Mailing address

P.o. Box 918, 1035 Cheraw St
Bennettsville, SC 29512

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1396261012

Chaniqua Desiree Mazyck, BA's National Provider Identifier is 1396261012, issued on Aug 15, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Chesterfield, SC. The record was last updated on Aug 15, 2017.