Nocd Maryland Pc | |
3524 Big Woods Rd Ijamsville MD 21754-9422 | |
(847) 436-3265 | |
Not Available |
Full Name | Nocd Maryland Pc |
---|---|
Speciality | Counselor - Mental Health |
Location | 3524 Big Woods Rd, Ijamsville, Maryland |
Authorized Official Name and Position | Larry Trusky (COO) |
Authorized Official Contact | 8474363265 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Nocd Maryland Pc 225 N Michigan Ave Ste 1430 Chicago IL 60601-7653 Ph: (847) 436-3265 | Nocd Maryland Pc 3524 Big Woods Rd Ijamsville MD 21754-9422 Ph: (847) 436-3265 |
NPI Number | 1326669441 |
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Provider Enumeration Date | 04/29/2020 |
Last Update Date | 04/29/2020 |
Certification Date | 04/29/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326669441 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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