Individual
MIZUKA YASUOKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3181 SANDHILL RD, MASON, MI 48854-9425
(517) 455-0258
Mailing address
2577 MASON LN, HOLT, MI 48842-2137
(832) 889-9887
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401223460
MI
Other
Enumeration date
10/11/2021
Last updated
10/03/2023
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