Individual
LORENA CHARMAINE SHIM CHOW MIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1407 LOCHNER RD STE 0, BALTIMORE, MD 21239-2932
(813) 486-0602
Mailing address
219 MERLIN DR, BELCAMP, MD 21017-1539
(813) 486-0602
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
MD
101YM0800X
Mental Health Counselor
Primary
LC4382
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LC4382
LICENSED PROFESSIONAL COUNSELOR NUMBER
MD
Enumeration date
09/20/2019
Last updated
09/20/2019
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