Organization
LIFE SUPPORT CLINICAL COUNSELING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE RITA HUNLEY LCPC (DIRECTOR)
(410) 980-3163
Entity
Organization
Contact information
Practice address
1759 ALLERFORD DR, HANOVER, MD 21076-1798
(410) 980-3163
Mailing address
1759 ALLERFORD DR, HANOVER, MD 21076-1798
(410) 980-3163
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LC3192
MD
Other
Enumeration date
02/05/2010
Last updated
02/05/2010
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