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Individual

MR. CODY JOHN VONTRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6802 MCCLEAN BLVD, BALTIMORE, MD 21234-7200
(410) 444-3800
Mailing address
6802 MCCLEAN BLVD, BALTIMORE, MD 21234-7200
(410) 444-3800

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC13359
MD

Other

Enumeration date
10/03/2018
Last updated
07/27/2023
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