Individual
LEILA FAZELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9475 DEERECO RD, SUITE 410 CORE COUNSELING, LUTHERVILLE TIMONIUM, MD 21093-2118
(301) 305-9174
Mailing address
76 CRANBROOK RD UNIT 291, COCKEYSVILLE, MD 21030-3404
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP6760
MD
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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