| Life Support Clinical Counseling Service | |
|
1759 Allerford Dr Hanover MD 21076-1798 | |
| (410) 980-3163 | |
| Not Available |
| Full Name | Life Support Clinical Counseling Service |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1759 Allerford Dr, Hanover, Maryland |
| Authorized Official Name and Position | Alice Rita Hunley (DIRECTOR) |
| Authorized Official Contact | 4109803163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Support Clinical Counseling Service 1759 Allerford Dr Hanover MD 21076-1798 Ph: (410) 980-3163 | Life Support Clinical Counseling Service 1759 Allerford Dr Hanover MD 21076-1798 Ph: (410) 980-3163 |
| NPI Number | 1003148743 |
|---|---|
| Provider Enumeration Date | 02/05/2010 |
| Last Update Date | 02/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003148743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LC3192 (Maryland) | Primary |
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