Individual
YIANNI MIKALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC, LCPAT
Contact information
Practice address
624 S WOLFE ST, BALTIMORE, MD 21231-3034
(240) 715-7991
Mailing address
624 S WOLFE ST, BALTIMORE, MD 21231-3034
(240) 715-7991
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC14418
MD
221700000X
Art Therapist
ATC367
MD
Other
Enumeration date
03/21/2022
Last updated
10/11/2024
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