| D Allen And Davis Community Counseling Center, Llc | |
|
2670 Crain Hwy Ste 401 Waldorf MD 20601-2818 | |
| (240) 416-6836 | |
| (240) 419-2495 |
| Full Name | D Allen And Davis Community Counseling Center, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2670 Crain Hwy Ste 401, Waldorf, Maryland |
| Authorized Official Name and Position | Deborah Allen (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 2404166836 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D Allen And Davis Community Counseling Center, Llc 2670 Crain Hwy Ste 401 Waldorf MD 20601-2818 Ph: (240) 416-6836 | D Allen And Davis Community Counseling Center, Llc 2670 Crain Hwy Ste 401 Waldorf MD 20601-2818 Ph: (240) 416-6836 |
| NPI Number | 1033603196 |
|---|---|
| Provider Enumeration Date | 06/21/2018 |
| Last Update Date | 06/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033603196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | LC87113 (Maryland) | Primary |
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