| Harbor Counseling Llc | |
|
5710 Newbury St 2nd Floor Baltimore MD 21209-3657 | |
| (443) 501-4094 | |
| Not Available |
| Full Name | Harbor Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5710 Newbury St, Baltimore, Maryland |
| Authorized Official Name and Position | Jamie Metzler (OWNER/ PRESIDENT) |
| Authorized Official Contact | 4434688834 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harbor Counseling Llc 1435 Boyle St Baltimore MD 21230-5112 Ph: (443) 468-8834 | Harbor Counseling Llc 5710 Newbury St 2nd Floor Baltimore MD 21209-3657 Ph: (443) 501-4094 |
| NPI Number | 1609160126 |
|---|---|
| Provider Enumeration Date | 06/01/2011 |
| Last Update Date | 06/01/2011 |
| Medicare PECOS PAC ID | 1456529932 |
|---|---|
| Medicare Enrollment ID | O20110728000218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609160126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 14659 (Maryland) | Primary |
| Provider Name | Jamie Todd Metzler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093865974 PECOS PAC ID: 4587606512 Enrollment ID: I20091019000525 |
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