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Organization
LUCID PSYCHIATRIC PRACTICE LLC
Active
Organization
LUCID PSYCHIATRIC PRACTICE LLC
Active
Other names
Centered Counseling Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN ANDERSON (OWNER)
(301) 351-1061
Entity
Organization
Contact information
Practice address
1200 E JOPPA RD, SUITE A, TOWSON, MD 21286-5810
(443) 632-9302
(443) 798-2772
Mailing address
1200 E JOPPA RD, SUITE A, TOWSON, MD 21286-5810
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R184691
MD
Other
Enumeration date
03/21/2017
Last updated
05/04/2017
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