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Organization

David'S Loft Clinical Programs

Professional Counselor in Baltimore, MD(View on Map)

Legal Business Name

David'S Loft Clinical Programs

NPI Number

1306119086

NPI Type

Organization

Enumeration Date

02/11/2012

Specialties

(Taxonomies)

Name

Professional Counselor

Code

101YP2500X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

LC2650

Contact
Information

Purpose

Mailing
Location

Address

2641 MARYLAND AVENUE
2641 MARYLAND AVENUE

City

Baltimore
Baltimore

State

MD
MD

Postal Code

20715
21218

Country

US
US

Telephone Number

(410) 800-4226
(410) 800-4226

Authorized Official

Name

Mr. David Thompson

Title or Position

CEO

Telephone Number

(410) 800-4226

Identifiers

Identifier

908601301

Identifier State

MD

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/15/2022

Provider Address

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