Organization
ONLINE ADCC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY CURRAN (ADMINISTRATIVE ASSISTANT)
(443) 291-3436
Entity
Organization
Contact information
Practice address
1208 E CHURCHVILLE RD, SUITE 300, BEL AIR, MD 21014-3442
(443) 291-3436
Mailing address
1208 E CHURCHVILLE RD, SUITE 300, BEL AIR, MD 21014-3442
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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