Provider Demographics
NPI:1144743550
Name:MAYZCK, JOYCE DENESE (LPCC)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:DENESE
Last Name:MAYZCK
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8324
Mailing Address - Street 2:
Mailing Address - City:EMERYVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94662-0324
Mailing Address - Country:US
Mailing Address - Phone:650-455-7884
Mailing Address - Fax:510-875-2310
Practice Address - Street 1:10850 MACARTHUR BLVD STE 200
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94605-5266
Practice Address - Country:US
Practice Address - Phone:510-875-2300
Practice Address - Fax:510-875-2310
Is Sole Proprietor?:No
Enumeration Date:2017-07-18
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16824101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional