Individual
MR. JUSTIN FORREST MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA NCC LCPC, CAC-AD
Contact information
Practice address
1633 E 30TH ST, BALTIMORE, MD 21218-3726
(301) 821-1932
Mailing address
1633 E 30TH ST, BALTIMORE, MD 21218-3726
(301) 821-1932
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/02/2010
Last updated
07/23/2010
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