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General NPI Number Information
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NPI Number | 1144743550
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Entity Type | Individual
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Provider Name | JOYCE DENESE MAYZCK LPCC
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Gender | Female
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Dates
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Enumeration Date | 07/18/2017
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 10850 MACARTHUR BLVD STE 200
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City | OAKLAND
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State | CA
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Zip | 94605-5266
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Country | US
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Telephone | 510-875-2300
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Fax | 510-875-2310
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Provider Business Mailing Address
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Address Line | PO BOX 8324
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City | EMERYVILLE
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State | CA
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Zip | 94662-0324
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Country | US
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Telephone | 650-455-7884
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Fax | 510-875-2310
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 16824
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License Number State | CA
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