Individual
ANGELA TOSCANO DOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
135 N PARKE ST, ABERDEEN, MD 21001-2428
(443) 625-1570
Mailing address
135 N PARKE ST, ABERDEEN, MD 21001-2428
(443) 625-1570
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
LC9365
MD
101YP2500X
Professional Counselor
LGP7829
MD
Other
Enumeration date
07/07/2014
Last updated
07/21/2022
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