Organization
INTROSPECTIVE CONSULTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARION WRIGHT LCPC (CEO)
(443) 756-5680
Entity
Organization
Contact information
Practice address
8548 CROOKED TREE LN, LAUREL, MD 20724-2491
(443) 756-5680
Mailing address
PO BOX 1207, UPPER MARLBORO, MD 20773-1207
(443) 756-5680
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194290619
NPI INDIVIDUAL
MD
Enumeration date
11/30/2019
Last updated
11/30/2019
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