Individual
MS. LEA PARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 BROADWAY ST STE 110, FREDERICK, MD 21701-6696
(240) 801-7799
Mailing address
520 N MARKET ST APT 321, FREDERICK, MD 21701-6779
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADT2593
MD
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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