Jerome Richard Myles MA

NPI 1083906499 - Counselor - 101Y00000X

NPI Details
NPI 1083906499
Gender Male
Enumeration Date 05/04/2011
Last Updated 06/13/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
WAXHAW NC, 28173-8738, US
Phone (704) 614-2823
Business Location
PO BOX 402
WAXHAW NC, 28173-1046, US
Phone (704) 614-2823
Taxonomy Code 101Y00000X
License State North Carolina
License Number A7806
Remove 1083906499 NPI Number

According to our database, Mr. Jerome Richard Myles MA NPI is 1083906499, taxonomy code is 101Y00000X and license number is A7806, license state is located at North Carolina. Jerome Richard Myles MA physically located at 8522 Richardson King Rd, Waxhaw NC, 28173-8738. NPI Number Jerome Richard Myles MA has the Individual type.

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1083906499 NPI number is provided on an as is basis without warranty of any kind. 1083906499 is maintained by the National Plan & Provider Enumeration System. The contents of Jerome Richard Myles MA are for informational purposes only.