Individual
KRISTY CHARNOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
422 SOLOMONS ISLAND RD N, PRINCE FREDERICK, MD 20678-3909
(301) 855-1056
(301) 609-7284
Mailing address
PO BOX 2924, LA PLATA, MD 20646-2984
(301) 609-9887
(301) 609-7284
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MD
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
589561802
—
MD
Enumeration date
01/26/2010
Last updated
01/26/2010
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