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Katelyn L Ly
Mental Health Counselor in Baltimore, Maryland
NPI 1861107765

Katelyn L Ly is a Mental Health Counselor based in Nottingham, MD and is specialized in Mental Health. Katelyn L Ly practices in Baltimore, MD. The NPI Number for Katelyn L Ly is 1861107765 and holds a License No. LGP13476 (Maryland).

The current practice location address for Katelyn L Ly is 5022 Campbell Blvd Ste 4969, Baltimore, MD and can be reached out via phone at 443-794-3986.

Location: 5022 Campbell Blvd Ste 4969, Baltimore, MD, 21236-4330
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861107765
Provider Name
Katelyn L Ly
Credential
Provider Entity Type
Individual
Gender
Female
Address
5022 Campbell Blvd Ste 4969, Baltimore, MD, 21236-4330
Phone Number
443-794-3986
Fax Number
Provider Enumeration Date
01/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5022 Campbell Blvd Ste 4969
City
Baltimore
State
Maryland
Zip
21236-4969
Phone Number
443-794-3986
Fax Number
person
Provider Business Mailing Address Details
Address
5022 Campbell Blvd Ste 4969
City
Baltimore
State
Maryland
Zip
21236-4969
Phone Number
443-794-3986
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LGP13476 (Maryland)
Definition
Definition to come...
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