| Casselman Counseling Consortium | |
|
12590 National Pike Suite 2 Grantsville MD 21536-3310 | |
| (301) 895-3388 | |
| (301) 895-3399 |
| Full Name | Casselman Counseling Consortium |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 12590 National Pike, Grantsville, Maryland |
| Authorized Official Name and Position | Ruth Alice Goldbloom (OWNERN& CHIEF CLINICIAN) |
| Authorized Official Contact | 3018953388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Casselman Counseling Consortium 12590 National Pike P O Box 268 Grantsville MD 21536-3310 Ph: (301) 895-3388 | Casselman Counseling Consortium 12590 National Pike Suite 2 Grantsville MD 21536-3310 Ph: (301) 895-3388 |
| NPI Number | 1275713356 |
|---|---|
| Provider Enumeration Date | 11/06/2007 |
| Last Update Date | 11/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275713356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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