| Starlight Child And Family Counseling, Llc | |
|
501 N Frederick Ave Suite 300 Gaithersburg MD 20877-2507 | |
| (301) 624-9838 | |
| Not Available |
| Full Name | Starlight Child And Family Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 501 N Frederick Ave, Gaithersburg, Maryland |
| Authorized Official Name and Position | Julia Churchill (CHILD THERAPIST) |
| Authorized Official Contact | 3016249838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Starlight Child And Family Counseling, Llc 501 N. Frederick Ave. Ste. 300 Gaithersburg MD 20877 Ph: (301) 624-9838 | Starlight Child And Family Counseling, Llc 501 N Frederick Ave Suite 300 Gaithersburg MD 20877-2507 Ph: (301) 624-9838 |
| NPI Number | 1245771567 |
|---|---|
| Provider Enumeration Date | 03/20/2017 |
| Last Update Date | 06/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245771567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 15140 (Maryland) | Primary |
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