Individual
TIMOTHY MCLAURIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
512 TRISTAM CT, PIKESVILLE, MD 21208-1415
(443) 617-7175
(410) 504-5956
Mailing address
512 TRISTAM CT, PIKESVILLE, MD 21208-1415
(443) 617-7175
(410) 504-5956
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC6685
MD
101YM0800X
Mental Health Counselor
LC6685
MD
101YP2500X
Professional Counselor
Primary
LC6685
MD
Other
Enumeration date
10/30/2015
Last updated
04/13/2020
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