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Organization
RESTORE YOU COUNSELING AND CONSULTATION, LLC
Active
Organization
RESTORE YOU COUNSELING AND CONSULTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANNING CLARK (CEO, OWNER)
(301) 254-9608
Entity
Organization
Contact information
Practice address
6401 PIONEER DR, BALTIMORE, MD 21214-1092
(410) 564-6893
Mailing address
4812 CIRCLING HUNTER DR APT 202, COLUMBIA, MD 21045-5508
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/10/2019
Last updated
06/11/2019
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