Individual
KELLY MICHELE MAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
40 S DUNDALK AVE STE 400, DUNDALK, MD 21222-4273
(410) 220-0720
(410) 862-0150
Mailing address
40 S DUNDALK AVE STE 400, DUNDALK, MD 21222-4273
(410) 220-0720
(410) 862-0150
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC7146
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
504204600
—
MD
Enumeration date
06/17/2016
Last updated
12/14/2023
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