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Organization

THE SPIRIT WITHIN YOU COUNSELING SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHRISTINE MARIE NELSON LCPC (CEO)
(443) 286-4507
Entity
Organization

Contact information

Practice address
5616 BELL GWYNN RD # 216, GLEN ARM, MD 21057-9343
(443) 286-4507
Mailing address
5616 BELL GWYNN RD # 216, GLEN ARM, MD 21057-9343
(443) 286-4507

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
103TC1900X
Counseling Psychologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
117056200
MD
05
357020700
MD
05
929805
MD
Enumeration date
10/24/2018
Last updated
10/21/2019
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