Individual
MS. CAROL ANN MCKISSICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2850 N. RIDGE RD. SUITE 208A, SANTORO PSYCHOLOGICAL SERVICES, ELLICOTT CITY, MD 21043
(410) 988-5943
Mailing address
3300 BOUNTIFUL DR, WESTMINSTER, MD 21157-7530
(443) 520-4374
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP8698
MD
101YP2500X
Professional Counselor
LGP8698
MD
Other
Enumeration date
02/19/2019
Last updated
04/25/2022
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