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Mr. Cody John Vontran
Mental Health Counselor in Baltimore, Maryland
NPI 1114402369

Cody John Vontran is a Mental Health Counselor based in Baltimore, MD and is specialized in Mental Health. Cody John Vontran practices in Baltimore, MD. The NPI Number for Cody John Vontran is 1114402369 and holds a License No. LC13359 (Maryland).

The current practice location address for Cody John Vontran is 6802 Mcclean Blvd, Baltimore, MD and can be reached out via phone at 410-444-3800.

Location: 6802 Mcclean Blvd, Baltimore, MD, 21234-7200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114402369
Provider Name
Cody John Vontran
Credential
Provider Entity Type
Individual
Gender
Male
Address
6802 Mcclean Blvd, Baltimore, MD, 21234-7200
Phone Number
410-444-3800
Fax Number
Provider Enumeration Date
10/03/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6802 Mcclean Blvd
City
Baltimore
State
Maryland
Zip
21234-7200
Phone Number
410-444-3800
Fax Number
person
Provider Business Mailing Address Details
Address
6802 Mcclean Blvd
City
Baltimore
State
Maryland
Zip
21234-7200
Phone Number
410-444-3800
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LC13359 (Maryland)
Definition
Definition to come...
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