Individual
JOHN J MICHALCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC1007
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012
FED BC
—
01
—
122244
JOHNS HOPKINS HEALTH CARE
—
01
—
226149
KAISER
—
01
—
264806000
MAGELLAN
—
01
—
288928
MANAGED HEALTH NETWORK/TR
—
05
—
405393100
—
MD
01
—
481450000
MAGELLAN
—
01
—
61030501
BCBS
MD
Enumeration date
05/17/2006
Last updated
07/09/2021
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