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John Charles Mutziger JR.
Mental Health Counselor in Ronkonkoma, New York
NPI 1578105904

John Charles Mutziger JR. is a Mental Health Counselor based in Blue Point, NY and is specialized in Mental Health. John Charles Mutziger JR. practices in Ronkonkoma, NY. The NPI Number for John Charles Mutziger JR. is 1578105904 and holds a License No. 009131-1 (New York).

The current practice location address for John Charles Mutziger JR. is 939 Johnson Ave, Ronkonkoma, NY and can be reached out via phone at 631-369-4418.

Location: 939 Johnson Ave, Ronkonkoma, NY, 11715-1609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578105904
Provider Name
John Charles Mutziger JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
939 Johnson Ave, Ronkonkoma, NY, 11715-1609
Phone Number
631-369-4418
Fax Number
Provider Enumeration Date
10/17/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
939 Johnson Ave
City
Ronkonkoma
State
New York
Zip
11779-6066
Phone Number
631-369-4418
Fax Number
person
Provider Business Mailing Address Details
Address
939 Johnson Ave
City
Ronkonkoma
State
New York
Zip
11779-6066
Phone Number
631-369-4418
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
009131-1 (New York)
Definition
Definition to come...
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