Individual
TINA L MIZLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 STODDARD RD, RICHMOND, MI 48062-2505
(810) 392-2167
Mailing address
51173 CENTRAL VILLAGE RD APT 304, CHESTERFIELD, MI 48047-3575
(586) 961-3167
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/17/2023
Last updated
07/26/2024
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