Individual
ANTHONY HUGO IZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 399-3755
(910) 202-9966
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 399-3755
(910) 202-9966
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A15382
NC
101YP2500X
Professional Counselor
A15382
NC
Other
Enumeration date
05/04/2020
Last updated
06/01/2020
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