Individual
ALLIE MEISHA MIZUSAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1330 N LOGAN ST STE 201, DENVER, CO 80203-2309
(505) 400-0710
Mailing address
2556 NEWARK CT UNIT 4210, AURORA, CO 80010-1488
(505) 400-0710
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC0017748
CO
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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