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Individual
MR. WILLIAM ASHLEY MIZELLE JR.
Active
Individual
MR. WILLIAM ASHLEY MIZELLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAS,LCMHC,CCS
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6860
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
10014
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1061
NC
101YM0800X
Mental Health Counselor
6860
NC
Other
Enumeration date
11/28/2006
Last updated
10/23/2023
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