Individual provider · Type 1 NPI

Jennifer L. Mizicko, PCC, LSW

Mental Health Counselor · Canton, OH

NPI number 1710126438 Active

Practice location

4450 Belden Village St NW, Suite 304
Canton, OH 44718-2552

Call (330) 705-2550 Map

Mailing address

3930 Thunderbird Cr NW
North Canton, OH 44720

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XS0018066 (OH)
Mental Health Counselor Primary 101YM0800XE0004223 (OH)

Mental Health Counselor: Definition to come...

10 other providers at this address

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About NPI 1710126438

Jennifer L. Mizicko, PCC, LSW's National Provider Identifier is 1710126438, issued on Feb 19, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Canton, OH. The record was last updated on Nov 1, 2022.