Individual
STANLEY LACIENSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8415 BELLONA LN STE 215, TOWSON, MD 21204-2066
(443) 377-3145
Mailing address
8415 BELLONA LN STE 215, TOWSON, MD 21204-2066
(443) 377-3145
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC8337
MD
Other
Enumeration date
12/12/2017
Last updated
05/07/2024
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