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Individual

MR. JOSEPH HODGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCPC

Contact information

Practice address
201 BROADWAY ST STE 110, FREDERICK, MD 21701-6696
(240) 801-7799
(240) 801-7799
Mailing address
201 BROADWAY ST STE 110, FREDERICK, MD 21701-6696
(240) 801-7799

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC13562
MD
101YP2500X
Professional Counselor
LGP11433
MD

Other

Enumeration date
02/28/2022
Last updated
05/17/2024
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