MR. Jerome Richard Myles, MA

NPI #1083906499 in Waxhaw, North Carolina

Provider Information

NPI Number
1083906499
Entity Type
Individual
Name
MR. Jerome Richard Myles, MA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Credential
MA
Enumeration Date
May 4, 2011
Last Updated
Jun 13, 2011

Practice Location

Address
8522 RICHARDSON KING RD
City
Waxhaw
ZIP Code
28173-8738
Phone
(704) 614-2823

Specialties & Taxonomy Codes

Specialty
Counselor

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