Individual
AMANDA ALLISON-PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
8638 VETERANS HWY STE 301, MILLERSVILLE, MD 21108-1422
(443) 445-0053
Mailing address
10630 LITTLE PATUXENT PKWY STE 209, COLUMBIA, MD 21044-6278
(443) 445-0053
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LGP7429
MD
101YP2500X
Professional Counselor
Primary
LC9118
MD
Other
Enumeration date
08/11/2017
Last updated
11/20/2018
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