| Imara Counseling Services | |
|
8101 Sandy Spring Rd 250 Laurel MD 20707-3596 | |
| (301) 821-0049 | |
| Not Available |
| Full Name | Imara Counseling Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8101 Sandy Spring Rd, Laurel, Maryland |
| Authorized Official Name and Position | David Defoe (OWNER) |
| Authorized Official Contact | 3018210049 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imara Counseling Services 8101 Sandy Spring Rd 250 Laurel MD 20707-3596 Ph: (301) 821-0049 | Imara Counseling Services 8101 Sandy Spring Rd 250 Laurel MD 20707-3596 Ph: (301) 821-0049 |
| NPI Number | 1932658671 |
|---|---|
| Provider Enumeration Date | 09/22/2016 |
| Last Update Date | 10/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932658671 | NPI | - | NPPES |
| 718002100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LC6147 (Maryland) | Primary |
| 101YP2500X | Counselor - Professional | LC6147 (Maryland) | Secondary |
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