Organization
ESSENTIAL CREDENTIALS COACHING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY LARISE ROBINSON LCSW-C (OWNER)
(443) 742-4329
Entity
Organization
Contact information
Practice address
3407 W FOREST PARK AVE, BALTIMORE, MD 21216-1453
(443) 742-4329
Mailing address
3407 W FOREST PARK AVE, BALTIMORE, MD 21216-1453
(443) 742-4329
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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