Organization
ILLUMINATED PARADIGM COUNSELING AND HEALING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KUBLAI KHAN DUHART LCPC (OWNER/THERAPIST)
(443) 738-4724
Entity
Organization
Contact information
Practice address
10989 RED RUN BLVD STE 202, OWINGS MILLS, MD 21117-3285
(443) 738-4724
Mailing address
114 WILGATE RD, OWINGS MILLS, MD 21117-3326
(443) 738-4724
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
11/14/2018
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