Individual
KELLY MULDOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, LCPAT, ATR-BC
Contact information
Practice address
25482 POINT LOOKOUT RD STE 201A, LEONARDTOWN, MD 20650-3896
(301) 690-0779
Mailing address
25482 POINT LOOKOUT RD STE 201A, LEONARDTOWN, MD 20650-3896
(301) 690-0779
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC8823
MD
Other
Enumeration date
12/14/2021
Last updated
09/15/2022
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