| Basal Therapies, Llc | |
|
8411 Broadband Dr Ste D Frederick MD 21701-4741 | |
| (443) 776-0271 | |
| (301) 663-8322 |
| Full Name | Basal Therapies, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 8411 Broadband Dr Ste D, Frederick, Maryland |
| Authorized Official Name and Position | Kathryn Ferro (DIRECTOR) |
| Authorized Official Contact | 2408384346 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Basal Therapies, Llc 5104 Pegasus Ct Ste B Frederick MD 21704-8323 Ph: (443) 776-0271 | Basal Therapies, Llc 8411 Broadband Dr Ste D Frederick MD 21701-4741 Ph: (443) 776-0271 |
| NPI Number | 1952073199 |
|---|---|
| Provider Enumeration Date | 10/05/2021 |
| Last Update Date | 10/07/2021 |
| Certification Date | 10/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952073199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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