| Northern Chesapeake Counseling, Llc | |
|
437 Girard St Havre De Grace MD 21078-3215 | |
| (301) 655-3102 | |
| Not Available |
| Full Name | Northern Chesapeake Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 437 Girard St, Havre De Grace, Maryland |
| Authorized Official Name and Position | Joel E. Lightfoot (OWNER) |
| Authorized Official Contact | 3016553102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Chesapeake Counseling, Llc 433 Girard St Havre De Grace MD 21078-3215 Ph: (301) 655-3102 | Northern Chesapeake Counseling, Llc 437 Girard St Havre De Grace MD 21078-3215 Ph: (301) 655-3102 |
| NPI Number | 1205375466 |
|---|---|
| Provider Enumeration Date | 02/20/2017 |
| Last Update Date | 04/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205375466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 14423 (Maryland) | Primary |
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