Individual
MRS. CHRISTY EVELYN SPACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37 MAIN ST, REISTERSTOWN, MD 21136-1236
(410) 526-7882
Mailing address
280 HOUSEN DR, WESTMINSTER, MD 21157-6555
(443) 375-0549
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP6646
MD
Other
Enumeration date
11/17/2018
Last updated
11/17/2018
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