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Individual
MR. MICHAEL JAMES MIJON
Active
Individual
MR. MICHAEL JAMES MIJON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH4290
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4972685
DEPARTMENT OF HEALTH, DIVISION OF MEDICAL QUALITY ASSURANCE
FL
Enumeration date
09/11/2012
Last updated
09/11/2012
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