Individual
MRS. QUIANNA GORHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMFT
Contact information
Practice address
1514 N ROLLING RD, CATONSVILLE, MD 21228-1147
(434) 426-0485
Mailing address
1514 N. ROLLING RD, CATONSVILLE, MD 21228
(434) 426-0485
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCM651
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
715717
—
MD
Enumeration date
12/02/2014
Last updated
07/21/2022
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