| Introspective Consultation, Llc | |
|
8548 Crooked Tree Ln Laurel MD 20724-2491 | |
| (443) 756-5680 | |
| Not Available |
| Full Name | Introspective Consultation, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 8548 Crooked Tree Ln, Laurel, Maryland |
| Authorized Official Name and Position | Marion Wright (CEO) |
| Authorized Official Contact | 4437565680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Introspective Consultation, Llc Po Box 1207 Upper Marlboro MD 20773-1207 Ph: (443) 756-5680 | Introspective Consultation, Llc 8548 Crooked Tree Ln Laurel MD 20724-2491 Ph: (443) 756-5680 |
| NPI Number | 1265079065 |
|---|---|
| Provider Enumeration Date | 11/30/2019 |
| Last Update Date | 11/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265079065 | NPI | - | NPPES |
| 1194290619 | Other | MD | NPI INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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