Individual
STACY MARIE MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10151 YORK RD STE 102, COCKEYSVILLE, MD 21030-3314
(410) 887-7671
Mailing address
108 CARAWAY RD APT 2C, REISTERSTOWN, MD 21136-5403
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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