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Individual
MARIAH K MYTON
Active
Individual
MARIAH K MYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC I/LPC/LCPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
R6795
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
20-R-32
OR
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
C7416
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500787823
—
OR
05
—
500797791
—
OR
Enumeration date
12/14/2020
Last updated
01/10/2025
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