Individual
KATHRYN DERAFFELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPAT
Contact information
Practice address
5820 YORK RD STE 201, BALTIMORE, MD 21212-3620
(410) 800-2169
Mailing address
5820 YORK RD STE 201, BALTIMORE, MD 21212-3620
(410) 800-2169
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
ATC914
MD
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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