Organization
ALTERNATIVE COUNSELING & WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA S SHEQUINE (EXECUTIVE DIRECTOR/ OWNER)
(410) 828-0101
Entity
Organization
Contact information
Practice address
200 E JOPPA RD STE 400, TOWSON, MD 21286-3109
(410) 828-0101
(410) 828-6262
Mailing address
200 E JOPPA RD STE 407, TOWSON, MD 21286-3109
(410) 828-0101
(410) 828-6262
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC5062
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
441156100
—
MD
Enumeration date
10/17/2013
Last updated
03/28/2022
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