Individual
MICHAEL CANNING BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGPC
Contact information
Practice address
305 W PENNSYLVANIA AVE, TOWSON, MD 21204-4413
(443) 300-6905
Mailing address
230 S COLLINGTON AVE UNIT 1, BALTIMORE, MD 21231-2627
(805) 766-0752
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP16902
MD
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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