Individual provider · Type 1 NPI
Laura Mennecke, LCPC
Mental Health Counselor · Severna Park, MD
NPI number
1477082873
Active
Practice location
479 Jumpers Hole Road, Suite 304B
Severna Park, MD 21146
Mailing address
479 Jumpers Hole Rd Ste 304B
Severna Park, MD 21146-1732
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LPC6877 (MD) |
Mental Health Counselor: Definition to come...
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About NPI 1477082873
Laura Mennecke, LCPC's National Provider Identifier is 1477082873, issued on Jun 8, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Severna Park, MD. The record was last updated on Jun 8, 2017.