| NPI | 1396482501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN JUDE ALVARADO Lcpc 443-783-5225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2025-05-22 |