| Passageways Therapy And Counseling, Llc | |
|
10 N Jefferson St Ste 403 Frederick MD 21701-4823 | |
| (301) 514-4745 | |
| (301) 668-1854 |
| Full Name | Passageways Therapy And Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 10 N Jefferson St Ste 403, Frederick, Maryland |
| Authorized Official Name and Position | Tamara Lynn Koepp (SOLE MEMBER) |
| Authorized Official Contact | 3015144745 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Passageways Therapy And Counseling, Llc 10 N. Jefferson Street Suite 403 Frederick MD 21782-1702 Ph: (301) 514-4745 | Passageways Therapy And Counseling, Llc 10 N Jefferson St Ste 403 Frederick MD 21701-4823 Ph: (301) 514-4745 |
| NPI Number | 1255850129 |
|---|---|
| Provider Enumeration Date | 09/12/2017 |
| Last Update Date | 09/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255850129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 17036 (Maryland) | Primary |
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