Individual
DR. JOHN WIRTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, PHD
Contact information
Practice address
102 OLD SOLOMONS ISLAND RD STE 202, ANNAPOLIS, MD 21401-3879
(410) 266-3058
Mailing address
102 OLD SOLOMONS ISLAND RD STE 202, ANNAPOLIS, MD 21401-3879
(410) 266-3058
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC7065
MD
101YM0800X
Mental Health Counselor
MH10123
FL
Other
Enumeration date
12/01/2017
Last updated
04/04/2018
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