Alternative Counseling & Wellness Center, Llc | |
200 E Joppa Rd Ste 400 Towson MD 21286-3109 | |
(410) 828-0101 | |
(410) 828-6262 |
Full Name | Alternative Counseling & Wellness Center, Llc |
---|---|
Speciality | Counselor - Professional |
Location | 200 E Joppa Rd Ste 400, Towson, Maryland |
Authorized Official Name and Position | Victoria S Shequine (EXECUTIVE DIRECTOR/ OWNER) |
Authorized Official Contact | 4108280101 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Alternative Counseling & Wellness Center, Llc 200 E Joppa Rd Ste 407 Towson MD 21286-3109 Ph: (410) 828-0101 | Alternative Counseling & Wellness Center, Llc 200 E Joppa Rd Ste 400 Towson MD 21286-3109 Ph: (410) 828-0101 |
NPI Number | 1538597109 |
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Provider Enumeration Date | 10/17/2013 |
Last Update Date | 03/28/2022 |
Certification Date | 03/28/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538597109 | NPI | - | NPPES |
441156100 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LC5062 (Maryland) | Primary |
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