Individual
MS. KRISTIN MARIE COUSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10102 COUNTRY CLUB RD SE, CUMBERLAND, MD 21502-8339
(301) 777-2285
(301) 777-5832
Mailing address
PO BOX 1722, CUMBERLAND, MD 21501-1722
(301) 777-2285
(301) 777-5832
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LC5026
MD
101YP2500X
Professional Counselor
Primary
LC5026
MD
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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