Organization
SOUTHERN MARYLAND COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA LYNNE KRAFT LCPC (MANAGING MEMBER)
(410) 231-2124
Entity
Organization
Contact information
Practice address
1295 HOLLIDGE RD, LUSBY, MD 20657-2682
(410) 231-2124
(410) 882-1079
Mailing address
1295 HOLLIDGE RD, LUSBY, MD 20657-2682
(410) 231-2124
(410) 882-1079
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC1273
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115605500
—
MD
Enumeration date
06/11/2013
Last updated
06/28/2024
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