Individual
DARLENE VINE-RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8718 THORNBROOK DR, ODENTON, MD 21113-3410
(240) 602-9643
Mailing address
8718 THORNBROOK DR, ODENTON, MD 21113-3410
(240) 602-9643
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP10132
MD
Other
Enumeration date
08/29/2020
Last updated
08/29/2020
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