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Individual
WANDA DANTZLER MAYSE
Active
Individual
WANDA DANTZLER MAYSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
10374
SC
101YA0400X
Addiction (Substance Use Disorder) Counselor
10374
SC
101YM0800X
Mental Health Counselor
10374
SC
101YP2500X
Professional Counselor
Primary
10374
SC
106H00000X
Marriage & Family Therapist
10374
SC
Other
Enumeration date
12/12/2024
Last updated
03/03/2025
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