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Individual
JAMIE MAZGAJ
Active
Individual
JAMIE MAZGAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4782
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4782
LPC
SC
05
—
PC1000
—
SC
Enumeration date
12/27/2006
Last updated
07/25/2025
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