| Mlj Counseling & Consulting Firm, Llc | |
|
30435 Mount Vernon Rd Princess Anne MD 21853-1437 | |
| (443) 257-9442 | |
| Not Available |
| Full Name | Mlj Counseling & Consulting Firm, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 30435 Mount Vernon Rd, Princess Anne, Maryland |
| Authorized Official Name and Position | Olubusola Sari (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4432579442 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mlj Counseling & Consulting Firm, Llc 30435 Mount Vernon Rd Princess Anne MD 21853-1437 Ph: (443) 257-9442 | Mlj Counseling & Consulting Firm, Llc 30435 Mount Vernon Rd Princess Anne MD 21853-1437 Ph: (443) 257-9442 |
| NPI Number | 1407467632 |
|---|---|
| Provider Enumeration Date | 08/11/2020 |
| Last Update Date | 08/11/2020 |
| Certification Date | 08/11/2020 |
| Medicare PECOS PAC ID | 9335568518 |
|---|---|
| Medicare Enrollment ID | O20201008000143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407467632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Olubusola Sari |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730712852 PECOS PAC ID: 0244659423 Enrollment ID: I20201008000212 |
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