Individual
MISS ASHLEY WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
8415 BELLONA LN STE 203, TOWSON, MD 21204-2066
(410) 777-8151
Mailing address
8415 BELLONA LN STE 203, TOWSON, MD 21204-2066
(410) 777-8151
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP7017
MD
Other
Enumeration date
08/24/2009
Last updated
11/14/2023
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