| Ocean's Wave Counseling | |
|
3355 Saint Johns Ln Ellicott City MD 21042-2605 | |
| (410) 498-6102 | |
| Not Available |
| Full Name | Ocean's Wave Counseling |
|---|---|
| Speciality | Psychologist |
| Location | 3355 Saint Johns Ln, Ellicott City, Maryland |
| Authorized Official Name and Position | Kenneth Abdul-karim (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 4104986102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocean's Wave Counseling 3355 Saint Johns Ln Ellicott City MD 21042-2605 Ph: () - | Ocean's Wave Counseling 3355 Saint Johns Ln Ellicott City MD 21042-2605 Ph: (410) 498-6102 |
| NPI Number | 1508624123 |
|---|---|
| Provider Enumeration Date | 03/08/2024 |
| Last Update Date | 03/08/2024 |
| Certification Date | 03/08/2024 |
| Medicare PECOS PAC ID | 1658718697 |
|---|---|
| Medicare Enrollment ID | O20240326001783 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508624123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kenneth W Abdul Karim |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689850661 PECOS PAC ID: 5890850572 Enrollment ID: I20181024000572 |
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