Individual
REBECCA BLANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC, LCPC, LCADC
Contact information
Practice address
711 W 40TH ST STE 425, BALTIMORE, MD 21211-2135
(443) 841-6812
Mailing address
2000 W BALTIMORE ST, BALTIMORE, MD 21223-1558
(410) 362-3000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC2958
MD
Other
Enumeration date
01/08/2020
Last updated
07/30/2020
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