Individual
MRS. WALESKA CRUZ SOTOMAYOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
5025 POPLAR RIDGE LN, ELLICOTT CITY, MD 21043-7636
(410) 440-1734
Mailing address
5025 POPLAR RIDGE LN, ELLICOTT CITY, MD 21043-7636
(410) 440-1734
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LC12300
MD
101YM0800X
Mental Health Counselor
LC12300
MD
101YP2500X
Professional Counselor
Primary
LC12300
MD
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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