| Rogue River Counseling, Llc | |
|
2007 Tidewater Colony Dr Ste 1a Annapolis MD 21401-2102 | |
| (410) 294-9300 | |
| (410) 294-9300 |
| Full Name | Rogue River Counseling, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2007 Tidewater Colony Dr Ste 1a, Annapolis, Maryland |
| Authorized Official Name and Position | Jason Hovey (OWNER) |
| Authorized Official Contact | 4102949300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rogue River Counseling, Llc 2007 Tidewater Colony Dr Ste 1a Annapolis MD 21401-2102 Ph: (410) 294-9300 | Rogue River Counseling, Llc 2007 Tidewater Colony Dr Ste 1a Annapolis MD 21401-2102 Ph: (410) 294-9300 |
| NPI Number | 1033620364 |
|---|---|
| Provider Enumeration Date | 10/13/2017 |
| Last Update Date | 07/16/2021 |
| Certification Date | 07/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033620364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LC6340 (Maryland) | Primary |
| 1041C0700X | Social Worker - Clinical | (Maryland) | Secondary |
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