Individual
MYLES SCHAULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
202 EASTON S APT 101, LAUREL, MD 20724-2131
(240) 595-8183
Mailing address
202 EASTON S APT 101, LAUREL, MD 20724-2131
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LC10653
MD
101YM0800X
Mental Health Counselor
Primary
LC10653
MD
Other
Enumeration date
11/04/2020
Last updated
09/11/2023
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