Organization
LIFE SUPPORT CLINICAL COUNSELING SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALICE RITA HUNLEY LCPC (CEO)
(410) 980-3163
Entity
Organization
Contact information
Practice address
82 JANET DALE LN, SEVERN, MD 21144
(410) 980-3163
(410) 969-2958
Mailing address
82 JANET DALE LN, SEVERN, MD 21144
(410) 980-3163
(410) 969-2958
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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