Healthcare Provider Details

I. General information

NPI: 1730233131
Provider Name (Legal Business Name): KARL MICHAEL KALIHER NCC, LPCMH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 02/24/2020
Certification Date: 02/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 BOOTH ST
ELKTON MD
21921-5657
US

IV. Provider business mailing address

200 BOOTH ST
ELKTON MD
21921-5657
US

V. Phone/Fax

Practice location:
  • Phone: 410-996-3400
  • Fax:
Mailing address:
  • Phone: 410-996-3400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC-0000451
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: