| Pax River Counseling, Llc | |
|
22776 Three Notch Rd Suite 102 Lexington Park MD 20653-3368 | |
| (610) 348-6682 | |
| (301) 780-3639 |
| Full Name | Pax River Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 22776 Three Notch Rd, Lexington Park, Maryland |
| Authorized Official Name and Position | Helena Louise Weisl (MEMBER) |
| Authorized Official Contact | 2407557282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pax River Counseling, Llc 11005 Old Marlboro Pike Upper Marlboro MD 20772-2727 Ph: (610) 348-6682 | Pax River Counseling, Llc 22776 Three Notch Rd Suite 102 Lexington Park MD 20653-3368 Ph: (610) 348-6682 |
| NPI Number | 1063827756 |
|---|---|
| Provider Enumeration Date | 06/22/2014 |
| Last Update Date | 06/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063827756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 15396 (Maryland) | Primary |
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