| Kingston C. Holcomb, Certified Counseling Associates, Inc. | |
|
5310 Old Court Rd Randallstown MD 21133-5243 | |
| (410) 521-4798 | |
| (410) 521-4745 |
| Full Name | Kingston C. Holcomb, Certified Counseling Associates, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5310 Old Court Rd, Randallstown, Maryland |
| Authorized Official Name and Position | Kingston Holcomb (DIRECTOR / FOUNDER) |
| Authorized Official Contact | 4105214798 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingston C. Holcomb, Certified Counseling Associates, Inc. 5310 Old Court Rd Suite 308 Randallstown MD 21133-5243 Ph: (410) 521-4798 | Kingston C. Holcomb, Certified Counseling Associates, Inc. 5310 Old Court Rd Randallstown MD 21133-5243 Ph: (410) 521-4798 |
| NPI Number | 1669847281 |
|---|---|
| Provider Enumeration Date | 12/08/2015 |
| Last Update Date | 03/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669847281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 06263 (Maryland) | Primary |
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