Individual
MARC LEVENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
10950 SHADOW LN, COLUMBIA, MD 21044-3786
(443) 310-1103
Mailing address
10950 SHADOW LN, COLUMBIA, MD 21044-3786
(443) 310-1103
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/16/2023
Last updated
07/12/2023
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