| Acidd For Counseling | |
|
300 Thomas Dr Ste A Laurel MD 20707-4700 | |
| (301) 377-0750 | |
| (301) 377-0463 |
| Full Name | Acidd For Counseling |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 300 Thomas Dr Ste A, Laurel, Maryland |
| Authorized Official Name and Position | Joseph Mathew (PRESIDENT) |
| Authorized Official Contact | 3013770750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Acidd For Counseling 300 Thomas Dr Ste A Laurel MD 20707-4700 Ph: (301) 377-0750 | Acidd For Counseling 300 Thomas Dr Ste A Laurel MD 20707-4700 Ph: (301) 377-0750 |
| NPI Number | 1114313665 |
|---|---|
| Provider Enumeration Date | 04/11/2015 |
| Last Update Date | 07/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114313665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 03099 (Maryland) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2012014161 (Maryland) | Primary |
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