TANYA MIZELL, NCC LPC CCTP ASDI

Counselor - Professional

Active Individual
NPI: 1306316724

Practice Address

3763 17TH ST
Ecorse, MI 48229

Phone: (734) 237-7199

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X No 6401224388 (MI)
Counselor - Professional 101YP2500X Yes 6401224388 (MI)
Counselor 101Y00000X No 6401224388 (MI)

Frequently Asked Questions

NPI 1306316724 is the National Provider Identifier for TANYA MIZELL, NCC LPC CCTP ASDI, a Counselor - Professional provider located in Ecorse, MI. This NPI was enumerated on November 28, 2018.
TANYA MIZELL, NCC LPC CCTP ASDI practices at 3763 17TH ST, Ecorse, MI 48229.

Quick Facts

NPI
1306316724
Type
Individual
Enumerated
Nov 28, 2018
Last Updated
Jun 29, 2024

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