Individual
MEGAN VIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 KINGSTON RD, BALTIMORE, MD 21220-4815
(443) 793-7980
Mailing address
6802 MCCLEAN BLVD, BALTIMORE, MD 21234-7200
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/11/2019
Last updated
08/21/2023
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