Individual
RICHARD THOMAS CONWAY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGPAT, LGPC, ATR-P
Contact information
Practice address
17904 GEORGIA AVE STE 200, OLNEY, MD 20832-2277
(240) 204-8377
Mailing address
7474 GREENWAY CENTER DR STE 700B, GREENBELT, MD 20770-3523
(240) 304-3327
(240) 513-4155
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP9412
MD
221700000X
Art Therapist
ATG223
MD
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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