Individual
RISA LYNNE DAVIS-GANEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMFT
Contact information
Practice address
3355 SAINT JOHNS LN, SUITE F, ELLICOTT CITY, MD 21042-2605
(443) 865-0298
Mailing address
6556 WALNUT GRV, COLUMBIA, MD 21044-4131
(443) 865-0298
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LCM033
MD
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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