Individual
ELIAS SESISTA CULLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
9515 DEERECO RD, TIMONIUM, MD 21093-2116
(410) 231-3016
Mailing address
2639 BOSTON ST APT 104, BALTIMORE, MD 21224-4740
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP15385
MD
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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