Individual
AMBER CONKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
221 MAITLAND ST, BEL AIR, MD 21014-3939
(443) 356-1452
Mailing address
1100 OLD MOUNTAIN RD N, JOPPA, MD 21085-1612
(443) 356-1452
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP14306
MD
101YM0800X
Mental Health Counselor
LGP14306
MD
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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