Individual
MICHAEL KOLTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
1431 HARVEY AVE, SEVERN, MD 21144-2622
(443) 974-8191
Mailing address
1431 HARVEY AVE, SEVERN, MD 21144-2622
(443) 974-8191
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
21461
MD
Other
Enumeration date
06/05/2021
Last updated
06/05/2021
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