Individual provider · Type 1 NPI

Michael W. Nettles

Professional Counselor · Capitol Heights, MD

NPI number 1962750257 Active

Practice location

1858 Rochelle Ave
Capitol Heights, MD 20743-4306

Call (202) 247-1999 Map

Fax (301) 513-0181

Mailing address

5206 Mineola Rd
College Park, MD 20740-4612

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLC4560 (MD)
Professional Counselor 101YP2500XPRC14104 (DC)

Professional Counselor: Definition to come...

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About NPI 1962750257

Michael W. Nettles's National Provider Identifier is 1962750257, issued on Aug 17, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Capitol Heights, MD. The record was last updated on Aug 17, 2012.