NPI | 1508251802 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA LYNN WESNER Owner/Lcpc 410-657-2324 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC3221) |
Enumeration Date | 2015-04-02 |
Last Update Date | 2016-09-14 |