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Organization
URBAN TRAUMA COUNSELING CENTER, LLC
Active
Organization
URBAN TRAUMA COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHINELLE MONIQUE OGLESBY LCPC (CHIEF EXECUTIVE OFFICER)
(410) 844-0770
Entity
Organization
Contact information
Practice address
3100 LORD BALTIMORE DR STE 110, WINDSOR MILL, MD 21244-5804
(410) 844-0770
Mailing address
3100 LORD BALTIMORE DR STE 110, WINDSOR MILL, MD 21244-5804
(410) 844-0770
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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