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Organization
CC BEHAVIORAL HEALTH LTD
Active
Organization
CC BEHAVIORAL HEALTH LTD
Active
Other names
CC Behavioral Health LTD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORALIE CASTRO PSY.D., LCPC (PRESIDENT)
(773) 540-7274
Entity
Organization
Contact information
Practice address
2324 W JOPPA RD STE 130, LUTHERVILLE, MD 21093
(773) 540-7274
Mailing address
2324 W JOPPA RD STE 130, LUTHERVILLE, MD 21093-4615
(773) 540-7274
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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