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2528 Mountain Rd Pasadena MD 21122-7203 | |
| (410) 360-4242 | |
| (443) 305-2351 |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 2528 Mountain Rd, Pasadena, Maryland |
| Authorized Official Name and Position | Michelle Hammer (OWNER) |
| Authorized Official Contact | 4103604242 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2631 Housley Rd # 1050 Annapolis MD 21401-7030 Ph: (410) 360-4242 | 2528 Mountain Rd Pasadena MD 21122-7203 Ph: (410) 360-4242 |
| NPI Number | 1801264361 |
|---|---|
| Provider Enumeration Date | 09/14/2015 |
| Last Update Date | 04/10/2024 |
| Certification Date | 04/10/2024 |
| Medicare PECOS PAC ID | 3173969409 |
|---|---|
| Medicare Enrollment ID | O20240308003578 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801264361 | NPI | - | NPPES |
| Provider Name | Michelle Rene Hammer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366624934 PECOS PAC ID: 4082050315 Enrollment ID: I20240716003093 |
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