Christian Counseling Group Llc | |
9650 Santiago Rd. Suite 102 Columbia MD 21045-3958 | |
(410) 995-5587 | |
(410) 992-1779 |
Full Name | Christian Counseling Group Llc |
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Speciality | Social Worker |
Location | 9650 Santiago Rd., Columbia, Maryland |
Authorized Official Name and Position | Candace Smith-tucker (MANAGER) |
Authorized Official Contact | 2403534078 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Christian Counseling Group Llc 9650 Santiago Rd. Suite 102 Columbia MD 21045-3958 Ph: (410) 995-5587 | Christian Counseling Group Llc 9650 Santiago Rd. Suite 102 Columbia MD 21045-3958 Ph: (410) 995-5587 |
NPI Number | 1730898065 |
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Provider Enumeration Date | 11/15/2022 |
Last Update Date | 03/01/2023 |
Certification Date | 03/01/2023 |
Medicare PECOS PAC ID | 6901271444 |
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Medicare Enrollment ID | O20230413002876 |
Identifier | Type | State | Issuer |
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1730898065 | NPI | - | NPPES |
Provider Name | Howard Hines |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1801906854 PECOS PAC ID: 4183680267 Enrollment ID: I20041209000907 |
Provider Name | Janice W Sams |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1225147440 PECOS PAC ID: 6709078751 Enrollment ID: I20101008000149 |
Provider Name | Andrea S Morris |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1134236672 PECOS PAC ID: 5799117883 Enrollment ID: I20240117003136 |
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