| Fresh Start Counseling Llc | |
|
11201 Poplar Grove Ct Laurel MD 20708-3536 | |
| (443) 788-2874 | |
| Not Available |
| Full Name | Fresh Start Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11201 Poplar Grove Ct, Laurel, Maryland |
| Authorized Official Name and Position | Mario Alden Broussard (OWNER) |
| Authorized Official Contact | 4437882874 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Start Counseling Llc 11201 Poplar Grove Ct Laurel MD 20708-3536 Ph: (443) 788-2874 | Fresh Start Counseling Llc 11201 Poplar Grove Ct Laurel MD 20708-3536 Ph: (443) 788-2874 |
| NPI Number | 1932973310 |
|---|---|
| Provider Enumeration Date | 11/07/2023 |
| Last Update Date | 11/07/2023 |
| Certification Date | 11/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932973310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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