Individual
SHIRA CONCOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, NCC
Contact information
Practice address
608 BOSLEY AVE, TOWSON, MD 21204-4029
(443) 451-5122
Mailing address
608 BOSLEY AVE, TOWSON, MD 21204-4029
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC7550
MD
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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