Organization
THERAPY 4 THE SPIRIT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE MARIE SEGUE-WILKINS LCPC (OWNER, PSYCHOTHERAPIST)
(410) 884-2848
Entity
Organization
Contact information
Practice address
5401 TWIN KNOLLS RD STE 9, COLUMBIA, MD 21045-3257
(410) 884-2848
(410) 884-2849
Mailing address
5401 TWIN KNOLLS RD STE 9, COLUMBIA, MD 21045-3257
(410) 884-2848
(410) 884-2849
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LC3362
MD
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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