Individual
MR. RICHARD DEAN REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
10400 RIDGLAND RD, STE 1, COCKEYSVILLE, MD 21030-2715
(410) 628-6120
(410) 628-0953
Mailing address
10400 RIDGLAND RD, STE 1, COCKEYSVILLE, MD 21030-2715
(410) 628-6120
(410) 628-9825
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC2216
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410893100
—
MD
Enumeration date
11/01/2006
Last updated
12/04/2012
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