| Frederick Center For Marriage And Family Therapy, Llc | |
|
1815 Bird Run Frederick MD 21702-1643 | |
| (301) 473-2197 | |
| Not Available |
| Full Name | Frederick Center For Marriage And Family Therapy, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1815 Bird Run, Frederick, Maryland |
| Authorized Official Name and Position | Alicia Dacey (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3014732197 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick Center For Marriage And Family Therapy, Llc 1815 Bird Run Frederick MD 21702-1643 Ph: () - | Frederick Center For Marriage And Family Therapy, Llc 1815 Bird Run Frederick MD 21702-1643 Ph: (301) 473-2197 |
| NPI Number | 1184165904 |
|---|---|
| Provider Enumeration Date | 03/13/2017 |
| Last Update Date | 12/20/2022 |
| Certification Date | 12/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184165904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LCM211 (Maryland) | Primary |
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