Individual
NICOLE LIBBEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1122 KENILWORTH DR, TOWSON, MD 21204-2139
(443) 841-7785
Mailing address
111 DUMBARTON RD APT B, BALTIMORE, MD 21212-1462
(856) 332-6516
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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