Individual
MRS. CHERYL DARLENE BACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
5B E MAIN ST, THURMONT, MD 21788-2007
(240) 840-6811
Mailing address
5A E MAIN ST, THURMONT, MD 21788-2007
(240) 840-6811
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
9783
MD
101YM0800X
Mental Health Counselor
Primary
LC12589
MD
Other
Enumeration date
01/07/2022
Last updated
05/13/2022
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