Individual
CHONG CONCANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
4800 ROLAND AVE STE 301, BALTIMORE, MD 21210-2347
(410) 498-8005
Mailing address
4800 ROLAND AVE STE 301, BALTIMORE, MD 21210-2347
(410) 498-8005
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC4759
MD
Other
Enumeration date
11/19/2012
Last updated
01/25/2022
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