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Organization

URBAN TRAUMA COUNSELING CENTER, LLC

Active
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Organization

URBAN TRAUMA COUNSELING CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHINELLE OGLESBY LCPC (CEO/CLINICAL DIRECTOR)
(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
3709 ESSEX RD, PIKESVILLE, MD 21207-4617
(410) 960-2496

Taxonomy

Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
—
NULL
163WP2201X
Ambulatory Care Registered Nurse
Primary
—
—

Other

Enumeration date
10/12/2023
Last updated
10/12/2023
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