Individual
DIANE MACK ANCEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPRP, CFRP
Contact information
Practice address
7822 EASTERN AVE, BALTIMORE, MD 21224-2115
(800) 847-6028
Mailing address
2220 WONDERVIEW RD, LUTHERVILLE TIMONIUM, MD 21093-3360
(443) 470-3883
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
MD
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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