| Constance W. Pullen | |
|
25800 Avonia Ln Royal Oak MD 21662-1417 | |
| (410) 822-6501 | |
| Not Available |
| Full Name | Constance W. Pullen |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 25800 Avonia Ln, Royal Oak, Maryland |
| Authorized Official Name and Position | Constance W. Pullen (OWNER) |
| Authorized Official Contact | 4108226501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Constance W. Pullen 25800 Avonia Ln Royal Oak MD 21662-1417 Ph: (410) 822-6501 | Constance W. Pullen 25800 Avonia Ln Royal Oak MD 21662-1417 Ph: (410) 822-6501 |
| NPI Number | 1770237786 |
|---|---|
| Provider Enumeration Date | 02/08/2022 |
| Last Update Date | 02/08/2022 |
| Certification Date | 02/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770237786 | NPI | - | NPPES |
| 160241100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
United Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 25800 Avonia Ln, Royal Oak, MD 21662 Phone: 410-829-1092 |