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Organization
LIGHTHOUSE CHRISTIAN COUNSELING LLC
Active
Organization
LIGHTHOUSE CHRISTIAN COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE HICKSON LCSW-C (OWNER)
(410) 758-4800
Entity
Organization
Contact information
Practice address
605 MAIN ST STE 203, STEVENSVILLE, MD 21666-2029
(410) 758-4800
Mailing address
127 ANDREW CT, CENTREVILLE, MD 21617-2539
(410) 758-4800
(443) 262-9697
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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