Individual
LUCAS MCNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW-CSC-AD
Contact information
Practice address
122 LANGLEY RD N STE B, GLEN BURNIE, MD 21060-6531
(420) 222-0100
Mailing address
9733 HARVESTER CIR, PERRY HALL, MD 21128-9027
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
25812
MD
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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