| Suburban Pastoral Counsleing Center | |
|
2 W. Rolling Crossroads Ste 209 Catonsville MD 21228-6209 | |
| (410) 719-0086 | |
| (443) 251-2664 |
| Full Name | Suburban Pastoral Counsleing Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2 W. Rolling Crossroads Ste 209, Catonsville, Maryland |
| Authorized Official Name and Position | Elaine M Bain (EXECUTIVE /CLINICAL DIRECTOR) |
| Authorized Official Contact | 4107190086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suburban Pastoral Counsleing Center Po Box 3274 Catonsville MD 21228-0274 Ph: (410) 719-0086 | Suburban Pastoral Counsleing Center 2 W. Rolling Crossroads Ste 209 Catonsville MD 21228-6209 Ph: (410) 719-0086 |
| NPI Number | 1760838569 |
|---|---|
| Provider Enumeration Date | 05/11/2016 |
| Last Update Date | 05/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760838569 | NPI | - | NPPES |
| LC6983 | Other | MD | LICENSED PROFESSIONAL CLINICAL COUNSELOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC6983 (Maryland) | Primary |
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