Individual
DANIELLE MARIE AUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
6310 STEVENS FOREST RD, COLUMBIA, MD 21046-1036
(410) 740-3240
Mailing address
10244 HICKORY RIDGE RD APT 402, COLUMBIA, MD 21044-4674
(631) 786-9370
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP11107
MD
101YM0800X
Mental Health Counselor
LGP11107
MD
Other
Enumeration date
01/23/2021
Last updated
01/23/2021
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