Myton, Mariah K

Myton, Mariah K is an individual health care provider with primary practice located at Po Box 159 , Rockaway Beach OR 97136-0159. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Myton, Mariah K can be contacted via phone (406) 382-0806.

Contact Information

Primary practice address
Po Box 159 Rockaway Beach OR 97136-0159
Phone: (406) 382-0806
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X R6795 Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 20-R-32 Oregon
Behavioral Health & Social Service Providers / Professional 101YP2500X C7416 Oregon

Profile Details

NPI number 1033705090
LBN Legal business name Myton, Mariah K
Credentials CADC I/LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2020
Last updated May 31st, 2024 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033705090 NPPES
Oregon MEDICAID 500797791
Oregon MEDICAID 500787823

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