| Courageous Llc | |
|
718 Elmwood Rd Baltimore MD 21206-2119 | |
| (240) 676-2007 | |
| (667) 260-6455 |
| Full Name | Courageous Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 718 Elmwood Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Jennifer Candacy Chichester-vinston (LICENSE CLINCIAL PROFESSIONAL COUNS) |
| Authorized Official Contact | 2406762007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Courageous Llc 718 Elmwood Rd Baltimore MD 21206-2119 Ph: (240) 676-2007 | Courageous Llc 718 Elmwood Rd Baltimore MD 21206-2119 Ph: (240) 676-2007 |
| NPI Number | 1093589756 |
|---|---|
| Provider Enumeration Date | 11/13/2023 |
| Last Update Date | 07/26/2024 |
| Certification Date | 07/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093589756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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