Rooted Therapeutic Center | |
20312 Grazing Way Montgomery Village MD 20886-1210 | |
(240) 644-7534 | |
Not Available |
Full Name | Rooted Therapeutic Center |
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Speciality | Counselor - Mental Health |
Location | 20312 Grazing Way, Montgomery Village, Maryland |
Authorized Official Name and Position | Manuela E. Mbouma (FOUNDER/THERAPIST) |
Authorized Official Contact | 2406447534 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rooted Therapeutic Center 20312 Grazing Way Montgomery Village MD 20886-1210 Ph: () - | Rooted Therapeutic Center 20312 Grazing Way Montgomery Village MD 20886-1210 Ph: (240) 644-7534 |
NPI Number | 1184208407 |
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Provider Enumeration Date | 05/12/2021 |
Last Update Date | 05/12/2021 |
Certification Date | 05/12/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184208407 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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