Individual
MS. BILLIE DAHL MIZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
942 W 4TH ST, WINSTON SALEM, NC 27101-2582
(336) 414-0278
Mailing address
942 W 4TH ST, WINSTON SALEM, NC 27101-2582
(336) 414-0278
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
973
NC
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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