Individual
CREOLA LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1633 INGRAM RD, BALTIMORE, MD 21239-3609
(443) 221-0566
(855) 714-2796
Mailing address
PO BOX 11305, BALTIMORE, MD 21239-0305
(443) 221-0566
(855) 714-2796
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC7097
MD
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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