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Organization
WHOLISTIC LIVING, LLC
Active
Organization
WHOLISTIC LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELBY J JOHN (DIRECTOR)
(410) 937-1386
Entity
Organization
Contact information
Practice address
1035 EMMORTON ROAD, BEL AIR, MD 21014
(410) 937-1386
Mailing address
2410 CHATAU CT, FALLSTON, MD 21047-2318
(410) 937-1386
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13592
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
414765100
—
MD
Enumeration date
10/03/2014
Last updated
09/08/2015
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