Individual
KELLY SYPHARD MERCKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
200 E JOPPA RD, TOWSON, MD 21286-3150
(410) 828-0101
Mailing address
200 E JOPPA RD, TOWSON, MD 21286-3150
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC9295
MD
101YP2500X
Professional Counselor
LGP8039
MD
Other
Enumeration date
06/06/2018
Last updated
02/26/2020
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