Basics Counseling Services Llc | |
7610 Pennsylvania Ave Suite 103 Forestville MD 20747-4701 | |
(443) 254-0966 | |
(301) 568-4806 |
Full Name | Basics Counseling Services Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 7610 Pennsylvania Ave, Forestville, Maryland |
Authorized Official Name and Position | Daniel Negussie Ferebee (OWNER/THERAPIST) |
Authorized Official Contact | 4432540966 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Basics Counseling Services Llc 5532 Auth Way Suitland MD 20746-4268 Ph: () - | Basics Counseling Services Llc 7610 Pennsylvania Ave Suite 103 Forestville MD 20747-4701 Ph: (443) 254-0966 |
NPI Number | 1831424431 |
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Provider Enumeration Date | 10/15/2009 |
Last Update Date | 10/15/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831424431 | NPI | - | NPPES |
1033341094 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 15032 (Maryland) | Primary |
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