| A Change Will Come Counseling Services, Llc | |
|
516 N Rolling Rd Ste 305 Catonsville MD 21228-4145 | |
| (443) 272-5987 | |
| Not Available |
| Full Name | A Change Will Come Counseling Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 516 N Rolling Rd Ste 305, Catonsville, Maryland |
| Authorized Official Name and Position | Nicole Ann Jackson (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 4432717449 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Change Will Come Counseling Services, Llc 516 N Rolling Rd Ste 305 Catonsville MD 21228-4145 Ph: (443) 272-5987 | A Change Will Come Counseling Services, Llc 516 N Rolling Rd Ste 305 Catonsville MD 21228-4145 Ph: (443) 272-5987 |
| NPI Number | 1396379111 |
|---|---|
| Provider Enumeration Date | 03/02/2020 |
| Last Update Date | 03/02/2020 |
| Certification Date | 03/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396379111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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