| Cardinal Counseling Center, Llc | |
|
5104 S Church St Lineboro MD 21102-3133 | |
| (443) 299-7410 | |
| Not Available |
| Full Name | Cardinal Counseling Center, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5104 S Church St, Lineboro, Maryland |
| Authorized Official Name and Position | Elli Dietrich (OWNER / THERAPIST) |
| Authorized Official Contact | 4434876043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cardinal Counseling Center, Llc 5104 S Church St Lineboro MD 21102-3133 Ph: (443) 299-7410 | Cardinal Counseling Center, Llc 5104 S Church St Lineboro MD 21102-3133 Ph: (443) 299-7410 |
| NPI Number | 1245803287 |
|---|---|
| Provider Enumeration Date | 07/19/2021 |
| Last Update Date | 07/19/2021 |
| Certification Date | 07/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245803287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |