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Organization
LIVE FREE THERAPY LLC
Active
Organization
LIVE FREE THERAPY LLC
Active
Other names
Live Free Therapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JM JENKINS (OWNER)
(443) 313-6350
Entity
Organization
Contact information
Practice address
10632 LITTLE PATUXENT PKWY STE 309, COLUMBIA, MD 21044-6294
(443) 313-6350
(443) 283-4136
Mailing address
10632 LITTLE PATUXENT PKWY STE 309, COLUMBIA, MD 21044-6294
(443) 313-6350
(443) 283-4136
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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