JOHN CHARLES MUTZIGER

RONKONKOMA, NY
NPI1578105904
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NY  009131-1)
Enumeration Date2019-10-17
Last Update Date2019-10-17
Business Address
JOHN CHARLES MUTZIGER
939 JOHNSON AVE
RONKONKOMA, NY 11779-6066
Phone number: 631-369-4418
Mailing Address
JOHN CHARLES MUTZIGER
50 DAVIS AVE
BLUE POINT, NY 11715-1609
Phone number: