Organization
INSTITUTE FOR FAITH BASED LEADERSHIP & PHILANTHROPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA HARRIS M. ED, LCPC (SECRETARY)
(410) 908-0063
Entity
Organization
Contact information
Practice address
3311 BATEMAN AVE, BALTIMORE, MD 21216-1807
(410) 908-0063
Mailing address
3311 BATEMAN AVE, BALTIMORE, MD 21216-1807
(410) 908-0063
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC7958
MD
101YP2500X
Professional Counselor
LC7958
MD
Other
Enumeration date
07/05/2017
Last updated
07/21/2022
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