Yianni Mikalis, LCPC, LCPAT
Counselor, Professional in Baltimore, MD. Individual provider (NPI-1).
NPI number1013666890
StatusActive
Last updated in NPPESOct 11, 2024
Details
- NPI
- 1013666890
- Entity type
- Individual (NPI-1)
- Name
- Yianni Mikalis
- Credential
- LCPC, LCPAT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2022
- Certification date
- Oct 11, 2024
- Last updated
- Oct 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LC14418 | MD | Yes |
| 221700000X | Art Therapist | ATC367 | MD |
Practice location
624 S Wolfe StBaltimore, MD 21231-3034
Phone 240-715-7991
Mailing address
624 S Wolfe StBaltimore, MD 21231-3034
Phone 240-715-7991
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