| Nichole R Judd Lcpc Llc | |
|
3545 Ellicott Mills Drive, Pmb 204 Ellicott City MD 21043 | |
| (443) 836-4116 | |
| Not Available |
| Full Name | Nichole R Judd Lcpc Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3545 Ellicott Mills Drive, Pmb 204, Ellicott City, Maryland |
| Authorized Official Name and Position | Nichole R Judd (THERAPIST) |
| Authorized Official Contact | 4438364116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nichole R Judd Lcpc Llc 3545 Ellicott Mills Drive, Pmb 204 Ellicott City MD 21043 Ph: (443) 836-4116 | Nichole R Judd Lcpc Llc 3545 Ellicott Mills Drive, Pmb 204 Ellicott City MD 21043 Ph: (443) 836-4116 |
| NPI Number | 1831784230 |
|---|---|
| Provider Enumeration Date | 03/08/2021 |
| Last Update Date | 03/08/2021 |
| Certification Date | 03/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831784230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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