Individual provider · Type 1 NPI
Julie Ann Mizak, LCSW-C
Professional Counselor · Nottingham, MD
NPI number
1609113844
Active
Practice location
8114 Sandpiper Cir Ste 215
Nottingham, MD 21236-5902
Fax (410) 933-0125
Mailing address
626 Revolution St
Havre De Grace, MD 21078-3320
Other practice locations
- 626 Revolution St, Havre De Grace, MD 21078-3320 · (410) 939-8744
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 16750 (MD) |
| Professional Counselor Primary | 101YP2500X | 1225005580 (MD) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1609113844
Julie Ann Mizak, LCSW-C's National Provider Identifier is 1609113844, issued on Jan 8, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Nottingham, MD. The record was last updated on Jul 21, 2022.