Individual
MICHAEL VIRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LGPC
Contact information
Practice address
2205 WARWICK WAY STE 100, MARRIOTTSVILLE, MD 21104-1631
(240) 883-6847
Mailing address
17711 GLOBE THEATRE DR, OLNEY, MD 20832-1676
(301) 706-4375
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP12753
MD
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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