| Broken Open Counseling Llc | |
|
102 W Pennsylvania Ave Ste 400 Towson MD 21204-4526 | |
| (410) 598-8871 | |
| Not Available |
| Full Name | Broken Open Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 102 W Pennsylvania Ave Ste 400, Towson, Maryland |
| Authorized Official Name and Position | Kara Gioioso Keryakos (PSYCHOTHERAPIST) |
| Authorized Official Contact | 4105988871 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broken Open Counseling Llc 102 W Pennsylvania Ave Ste 400 Towson MD 21204-4526 Ph: (410) 598-8871 | Broken Open Counseling Llc 102 W Pennsylvania Ave Ste 400 Towson MD 21204-4526 Ph: (410) 598-8871 |
| NPI Number | 1306483532 |
|---|---|
| Provider Enumeration Date | 12/06/2019 |
| Last Update Date | 07/23/2024 |
| Certification Date | 07/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306483532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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