Individual
ELLEN ELIZABETH WILLERTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
900A S MAIN ST STE 105, BEL AIR, MD 21014-5473
(410) 914-4012
Mailing address
900A S MAIN ST STE 105, BEL AIR, MD 21014-5473
(410) 914-4012
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP13887
MD
Other
Enumeration date
10/11/2023
Last updated
06/26/2024
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