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Organization

RESTORE YOU COUNSELING AND CONSULTATION, LLC

Active
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Organization

RESTORE YOU COUNSELING AND CONSULTATION, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHANNING CLARK LCPC (CEO, OWNER)
(301) 254-9608
Entity
Organization

Contact information

Practice address
100 KANE ST, BALTIMORE, MD 21224-1726
(410) 564-6893
Mailing address
4812 CIRCLING HUNTER DR APT 202, COLUMBIA, MD 21045-5508

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—

Other

Enumeration date
05/10/2019
Last updated
06/11/2019
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