Individual provider · Type 1 NPI
Mizuho Kanazawa, LPC, LCAT
Professional Counselor · Fort Lee, NJ
NPI number
1780955831
Active
Practice location
1605 John St Ste 314
Fort Lee, NJ 07024-2586
Other practice locations
- 142 E 27th St Apt 1A, New York, NY 10016-9057 · (201) 298-3131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 37PC00746100 (NJ) |
| Drama Therapist | 101200000X | 000266-1 (NY) |
Professional Counselor: Definition to come...
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About NPI 1780955831
Mizuho Kanazawa, LPC, LCAT's National Provider Identifier is 1780955831, issued on Jan 21, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Lee, NJ. The record was last updated on Oct 9, 2026.