| Illuminated Paradigm Counseling And Healing, Llc | |
|
10989 Red Run Blvd Ste 202 Owings Mills MD 21117-3285 | |
| (443) 738-4724 | |
| Not Available |
| Full Name | Illuminated Paradigm Counseling And Healing, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 10989 Red Run Blvd Ste 202, Owings Mills, Maryland |
| Authorized Official Name and Position | Kublai Khan Duhart (OWNER/THERAPIST) |
| Authorized Official Contact | 4437384724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illuminated Paradigm Counseling And Healing, Llc 114 Wilgate Rd Owings Mills MD 21117-3326 Ph: (443) 738-4724 | Illuminated Paradigm Counseling And Healing, Llc 10989 Red Run Blvd Ste 202 Owings Mills MD 21117-3285 Ph: (443) 738-4724 |
| NPI Number | 1326515370 |
|---|---|
| Provider Enumeration Date | 10/29/2018 |
| Last Update Date | 11/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326515370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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