| Safe Harbor Christian Counseling Of Cecil County | |
|
718 Bridge Street Elkton MD 21921-5310 | |
| (410) 893-4600 | |
| (443) 640-4358 |
| Full Name | Safe Harbor Christian Counseling Of Cecil County |
|---|---|
| Speciality | Social Worker |
| Location | 718 Bridge Street, Elkton, Maryland |
| Authorized Official Name and Position | Melissa Garci (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 4108934600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Safe Harbor Christian Counseling Of Cecil County P.o. Box 109 Bel Air MD 21014-3485 Ph: (410) 893-4600 | Safe Harbor Christian Counseling Of Cecil County 718 Bridge Street Elkton MD 21921-5310 Ph: (410) 893-4600 |
| NPI Number | 1972876282 |
|---|---|
| Provider Enumeration Date | 02/16/2012 |
| Last Update Date | 10/05/2015 |
| Medicare PECOS PAC ID | 3476874751 |
|---|---|
| Medicare Enrollment ID | O20150611002947 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972876282 | NPI | - | NPPES |
| 977202200 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 08492 (Maryland) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Eular Murray Gibbs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689895724 PECOS PAC ID: 9830298942 Enrollment ID: I20070629000399 |
| Provider Name | Joan M Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588845234 PECOS PAC ID: 8426221060 Enrollment ID: I20111027000305 |
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