Individual
JANYL HARDISTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
43 COMMUNITY PL, CROWNSVILLE, MD 21032-2034
(410) 571-4500
Mailing address
1300 DOVETAIL LN, ODENTON, MD 21113-1355
(443) 534-3734
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP15616
MD
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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