Individual
LINDA TACK MCDOUGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Contact information
Practice address
200 BOOTH ST, ELKTON, MD 21921-5657
(443) 553-4485
Mailing address
40 BLOSSOM LN, ELKTON, MD 21921-7527
(610) 742-6588
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC6318
MD
101YM0800X
Mental Health Counselor
PC007975
PA
Other
Enumeration date
07/28/2015
Last updated
05/02/2023
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