Individual
MRS. SHANNON O'BRIEN HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMFT
Contact information
Practice address
29626 OLD CREEK LN, EASTON, MD 21601-7929
(301) 331-1664
Mailing address
29626 OLD CREEK LN, EASTON, MD 21601-7929
(301) 331-1664
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LCM885
MD
106H00000X
Marriage & Family Therapist
LGM774
MD
106S00000X
Behavior Technician
RBT-18-56967
MD
Other
Enumeration date
07/12/2018
Last updated
12/10/2023
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