Individual
MR. MILES ALEXANDER GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
1654 MYAMBY RD, TOWSON, MD 21286-8132
(410) 790-6133
Mailing address
1654 MYAMBY RD, TOWSON, MD 21286-8132
(410) 790-6133
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC12925
MD
Other
Enumeration date
08/22/2020
Last updated
11/07/2024
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