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Ms. Taylor Charisse Kennerly, LGPC
Mental Health Counselor in Waldorf, Maryland
NPI 1164165056

Taylor Charisse Kennerly is a Mental Health Counselor based in Camp Springs, MD and is specialized in Mental Health. Taylor Charisse Kennerly practices in Waldorf, MD and has the professional credentials of LGPC. The NPI Number for Taylor Charisse Kennerly is 1164165056 and holds a License No. LGP11841 (Maryland).

The current practice location address for Taylor Charisse Kennerly is 3261 Old Washington Rd Ste 3021, Waldorf, MD and can be reached out via phone at 240-280-3245.

Location: 3261 Old Washington Rd Ste 3021, Waldorf, MD, 20746-4285
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164165056
Provider Name
Taylor Charisse Kennerly
Credential
LGPC
Provider Entity Type
Individual
Gender
Female
Address
3261 Old Washington Rd Ste 3021, Waldorf, MD, 20746-4285
Phone Number
240-280-3245
Fax Number
Provider Enumeration Date
04/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3261 Old Washington Rd Ste 3021
City
Waldorf
State
Maryland
Zip
20602-3229
Phone Number
240-280-3245
Fax Number
person
Provider Business Mailing Address Details
Address
3261 Old Washington Rd Ste 3021
City
Waldorf
State
Maryland
Zip
20602-3229
Phone Number
240-280-3245
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LGP11841 (Maryland)
Definition
Definition to come...
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