Individual
THERESA DOUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10703 CONNOR DR, WILLIAMSPORT, MD 21795-3176
(410) 305-9556
Mailing address
10703 CONNOR DR, WILLIAMSPORT, MD 21795-3176
(410) 305-9556
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC13693
MD
Other
Enumeration date
03/18/2021
Last updated
06/20/2023
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