Individual
JOHN J MICHALCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
5407 N CHARLES STREET, BALTIMORE, MD 21210-2024
(410) 433-8861
(410) 433-1249
Mailing address
5407 N CHARLES STREET, BALTIMORE, MD 21210-2024
(410) 433-8861
(410) 433-1249
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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