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Organization

MARYLAND VIRTUAL COUNSELING LLC,

Active
Other names
Maryland Virtual Counseling
Organization subpart
No

Provider details

NPI number
Authorized official
ALLISON PASTINE LPCPC (OWNER)
(443) 250-6653
Entity
Organization

Contact information

Practice address
4 KUETHE RD, GLEN BURNIE, MD 21060-7322
(443) 203-8098
Mailing address
642 THOMAS WAY, SEVERNA PARK, MD 21146-2832
(443) 250-6653

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
06/21/2019
Last updated
06/21/2019
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