Individual
AMANDA DUCHARME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
30 GREENWAY ST NW STE 5, GLEN BURNIE, MD 21061-3557
(410) 760-9079
Mailing address
2229 E FAYETTE ST, BALTIMORE, MD 21231-1321
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LC6873
MD
101YP2500X
Professional Counselor
Primary
LC6873
MD
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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