Individual
MS. TAYLOR CHARISSE KENNERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
3261 OLD WASHINGTON RD STE 3021, WALDORF, MD 20602-3229
(240) 280-3245
Mailing address
4351 TELFAIR BLVD APT G101, CAMP SPRINGS, MD 20746-4285
(203) 216-4252
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP11841
MD
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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