Individual
INGRID MAZZIOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCPC, NCC
Contact information
Practice address
10630 LITTLE PATUXENT PKWY STE 209, COLUMBIA, MD 21044-6278
(410) 740-8066
Mailing address
10630 LITTLE PATUXENT PKWY STE 209, COLUMBIA, MD 21044-6278
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC12369
MD
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
07/06/2020
Last updated
12/20/2022
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