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Individual
TANYA D MIZELL
Active
Individual
TANYA D MIZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC LPC CCTP2 ASDCS
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401224388
MI
101YM0800X
Mental Health Counselor
6401224388
MI
101YP2500X
Professional Counselor
Primary
6401224388
MI
101YP2500X
Professional Counselor
C.2607971
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14898250
CAQH PROVIEW
—
01
—
1732823
NATIONAL BOARD FOR CERTIFIED COUNSELORS (NBCC)
—
01
—
7A7B6
CAGE/NCAGE
—
01
—
KLDNLGNS98C3
SAM UNIQUE ENTITY ID
—
Enumeration date
11/28/2018
Last updated
05/02/2026
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