Individual
MR. MICHAEL D CARDACI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
650 RITCHIE HWY, SUITE 207, SEVERNA PARK, MD 21146-3916
(410) 714-1720
(410) 741-3343
Mailing address
242 NATHAN WAY, MILLERSVILLE, MD 21108-6831
(410) 714-1720
(410) 741-3343
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LC2621
MD
101YM0800X
Mental Health Counselor
Primary
LC2621
MD
101YP2500X
Professional Counselor
LC2621
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
774800100
—
MD
Enumeration date
04/01/2006
Last updated
06/13/2023
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