Individual
MRS. KELLEY F MIZIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
710 WANA AVE, WEAVER, AL 36277-3440
(256) 282-6841
Mailing address
508 GOODWIN AVE, ANNISTON, AL 36207
(256) 689-9968
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2324
AL
Other
Enumeration date
07/25/2007
Last updated
04/09/2025
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