Organization
VLASOVA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NATALIYA VLASOVA MA LCPC (OWNER)
(443) 676-1982
Entity
Organization
Contact information
Practice address
12023 EASTERN AVE, BALTIMORE, MD 21220-1301
(443) 676-1982
(443) 451-8541
Mailing address
12023 EASTERN AVE, BALTIMORE, MD 21220-1301
(443) 676-1982
(443) 451-8541
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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