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Organization
BALTIMORE CENTER FOR PSYCHOTHERAPY LLC
Active
Organization
BALTIMORE CENTER FOR PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN FANONE LCSW-C (CO-DIRECTOR)
(240) 412-8880
Entity
Organization
Contact information
Practice address
623 W 34TH ST STE 105, BALTIMORE, MD 21211-2658
(443) 873-0635
Mailing address
1716 BOLTON ST, BALTIMORE, MD 21217-4323
(240) 412-8880
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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