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Organization

EMBRACE YOUR LIGHT COUNSELING AND WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EBONY FOWLER LCPC (OWNER/PSYCHOTHERAPIST)
(443) 267-6204
Entity
Organization

Contact information

Practice address
10999 RED RUN BLVD, STE 205 #181, OWINGS MILLS, MD 21117
(443) 267-6204
Mailing address
10999 RED RUN BLVD, STE 205 #181, OWINGS MILLS, MD 21117
(443) 267-6204

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1033671425
MD
Enumeration date
11/13/2020
Last updated
11/13/2020
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