| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MICHAEL KOLTZ | 1184291569 | 2021-06-05 |
Michael Koltz is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1184291569. Registration indicates Michael Koltz is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Michael Koltz LCSW-C |
| Practice Office Address | 1431 HARVEY AVE SEVERN, MD US |
| Practice Office Telephone | 4439748191 |
| Mailing Address | 1431 HARVEY AVE SEVERN, MD 211442622 US |
| Business Telephone | 4439748191 |
| Code | Practice | License No State |
|---|---|---|
| 101YM0800X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor | 21461
MD |