Christina Blackwell, LCPC | |
1576 Merritt Blvd Ste 8, Dundalk, MD 21222-2114 | |
(443) 530-6533 | |
(443) 503-5436 |
Full Name | Christina Blackwell |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1576 Merritt Blvd Ste 8, Dundalk, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629653787 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | LC12544 (Maryland) | Primary |
Entity Name | Cedar Ridge Counseling Centers, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932103926 PECOS PAC ID: 4981649738 Enrollment ID: O20110628000570 |
Mailing Address | Practice Location Address |
---|---|
Christina Blackwell, LCPC 7811 Wise Ave, Dundalk, MD 21222-3339 Ph: (443) 530-6533 | Christina Blackwell, LCPC 1576 Merritt Blvd Ste 8, Dundalk, MD 21222-2114 Ph: (443) 530-6533 |
Earl Wesley Ridgell Jr., MA, MS, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7800 Wise Ave Ste 203, Dundalk, MD 21222 Phone: 410-999-4886 | |
Lydia Moore, LGPC Counselor Medicare: Medicare Enrolled Practice Location: 1576 Merritt Blvd, Dundalk, MD 21222 Phone: 443-530-6533 | |
Danielle Strobeck, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 7811 Wise Ave, Dundalk, MD 21222 Phone: 443-530-6533 | |
Corrine Wilkinson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1576 Merritt Blvd Ste 8, Dundalk, MD 21222 Phone: 443-530-6533 | |
Jessica Ferenz, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1420 Merritt Blvd Ste B, Dundalk, MD 21222 Phone: 410-698-8443 | |
Shelby Kiah Walker, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 N Dundalk Ave, Dundalk, MD 21222 Phone: 667-600-3680 | |
Ms. Stephanie Renee Finney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7811 Wise Ave, Dundalk, MD 21222 Phone: 443-530-6533 |