Therese Moran Conlon, | |
1011 Main St, Hampstead, MD 21074-2230 | |
(410) 552-9007 | |
(410) 552-9881 |
Full Name | Therese Moran Conlon |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1011 Main St, Hampstead, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013371616 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LC5216 (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 |
---|---|
Therese Moran Conlon, 1381 Jay Rd, Eldersburg, MD 21784-6115 Ph: (410) 552-9007 | Therese Moran Conlon, 1011 Main St, Hampstead, MD 21074-2230 Ph: (410) 552-9007 |
Emma Cater, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4532 Whetstone Ct, Hampstead, MD 21074 Phone: 443-858-7776 | |
Mallory Kahn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4111 Saint Paul Rd, Hampstead, MD 21074 Phone: 443-605-6637 | |
Terri L Wise, Counselor Medicare: Accepting Medicare Assignments Practice Location: 1011 Main St, Hampstead, MD 21074 Phone: 410-552-9007 Fax: 410-552-9881 | |
Mrs. Michelle L Norris, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1011 Main St, Hampstead, MD 21074 Phone: 410-552-9007 Fax: 410-552-9881 | |
Ms. Tawnya Marie Sykes, MA, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2047 Harvey Gummel Rd, Hampstead, MD 21074 Phone: 443-478-6727 | |
Stacey Sullivan-testa, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4500 Black Rock Rd Ste 103, Hampstead, MD 21074 Phone: 443-980-6800 |