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Individual

MRS. AMY KOHN MCNELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCMFT, LMFT, CAC-II

Contact information

Practice address
8607 CEDAR ST, SILVER SPRING, MD 20910-4324
(240) 200-5401
Mailing address
12103 STONEY CREEK RD, POTOMAC, MD 20854-1165
(301) 803-0197

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LCM707
MD
106H00000X
Marriage & Family Therapist
LMFT000144
DC
106H00000X
Marriage & Family Therapist
LMFT717001490
VA

Other

Enumeration date
01/14/2019
Last updated
01/14/2019
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