Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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John Charles Mutziger Jr.

Individual provider Mental Health Counselor · NPI 1578105904

John Charles Mutziger Jr. is a Mental Health Counselor in Ronkonkoma, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2019
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Practice location Address checks out

939 Johnson Ave
Ronkonkoma, NY 11779-6066
Phone: (631) 369-4418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 009131-1 (NY)

Record details

NPI number1578105904
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 17, 2019
Last updated in NPPESOctober 17, 2019

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