Individual
AVI LANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
4445 OLD COURT RD, BALTIMORE, MD 21208-2736
(410) 484-6600
Mailing address
405 YESHIVA LN APT 1C, PIKESVILLE, MD 21208-1135
(410) 484-6600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC6293
MD
Other
Enumeration date
10/23/2014
Last updated
07/30/2015
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