John Mintz, LMSW
Counselor, Mental Health in Brooklyn, NY. Individual provider (NPI-1).
NPI number1114748639
StatusActive
Last updated in NPPESOct 17, 2024
Details
- NPI
- 1114748639
- Entity type
- Individual (NPI-1)
- Name
- John Mintz
- Credential
- LMSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 17, 2024
- Certification date
- Oct 17, 2024
- Last updated
- Oct 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 44SL07173400 | NJ | Yes |
Other names
- Jack Mintz (Professional Name)
Practice location
362 Clermont AveBrooklyn, NY 11238-1002
Phone 917-678-4481
Mailing address
362 Clermont AveBrooklyn, NY 11238-1002
Phone 917-678-4481
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