Individual
MR. MICHAEL MORYKON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC LMFT
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701001862
VA
106H00000X
Marriage & Family Therapist
0717000148
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005406544
—
VA
Enumeration date
04/06/2011
Last updated
04/06/2011
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