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 | 2024-04-30 |