Individual
DIANE WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LGPC
Contact information
Practice address
9199 REISTERSTOWN RD STE 202B, OWINGS MILLS, MD 21117-4579
(443) 660-8018
Mailing address
9199 REISTERSTOWN RD STE 202B, OWINGS MILLS, MD 21117-4579
(443) 660-8018
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP8159
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
N/A
—
Enumeration date
01/07/2019
Last updated
01/24/2023
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