Organization
MIND BODY AND BALANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE L LEORE LCPC LCADC MA (PRESIDENT)
(410) 526-5387
Entity
Organization
Contact information
Practice address
324 MAIN STREET, 2ND FL, REISTERSTOWN, MD 21136
(410) 526-5387
(410) 526-9834
Mailing address
324 MAIN STREET, 2ND FL, REISTERSTOWN, MD 21136
(410) 526-5387
(410) 526-9834
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC0033
MD
Other
Enumeration date
07/04/2006
Last updated
08/22/2020
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