Slate Clinical Counseling And Consultation Llc | |
13717 Petrel St Clarksburg MD 20871-3403 | |
(443) 370-9336 | |
Not Available |
Full Name | Slate Clinical Counseling And Consultation Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 13717 Petrel St, Clarksburg, Maryland |
Authorized Official Name and Position | Maxine Marshall (CEO/THERAPIST) |
Authorized Official Contact | 2403563966 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Slate Clinical Counseling And Consultation Llc 13717 Petrel St Clarksburg MD 20871-3403 Ph: (443) 370-9336 | Slate Clinical Counseling And Consultation Llc 13717 Petrel St Clarksburg MD 20871-3403 Ph: (443) 370-9336 |
NPI Number | 1639857329 |
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Provider Enumeration Date | 07/11/2023 |
Last Update Date | 07/11/2023 |
Certification Date | 07/11/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639857329 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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