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Individual

MR. RAYMOND VELENCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LGPC

Contact information

Practice address
1001 W PRATT ST, BALTIMORE, MD 21223-2679
(443) 462-3423
(443) 462-3090
Mailing address
1001 W PRATT ST, BALTIMORE, MD 21223-2679
(443) 462-3423
(443) 462-3090

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCA3093
MD
101YP2500X
Professional Counselor
Primary
LC12376
MD

Other

Enumeration date
11/03/2020
Last updated
09/06/2022
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