Individual
NICHOLE RANDALL JUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2820 CLAYBROOKE DR, WINDSOR MILL, MD 21244-2014
(443) 583-4142
Mailing address
2820 CLAYBROOKE DR, WINDSOR MILL, MD 21244-2014
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LC10660
MD
101YP2500X
Professional Counselor
Primary
LC10660
MD
Other
Enumeration date
09/21/2020
Last updated
09/27/2020
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