| The Counseling Renaissance | |
|
263 W Patrick St Rm 1 Frederick MD 21701-6910 | |
| (410) 970-6964 | |
| (410) 970-6157 |
| Full Name | The Counseling Renaissance |
|---|---|
| Speciality | Counselor - Professional |
| Location | 263 W Patrick St, Frederick, Maryland |
| Authorized Official Name and Position | Gina Marie Rassa (OWNER/PRESIDENT) |
| Authorized Official Contact | 4109355140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Counseling Renaissance 7533 Main St Suite 1f Sykesville MD 21784-7374 Ph: (410) 970-6964 | The Counseling Renaissance 263 W Patrick St Rm 1 Frederick MD 21701-6910 Ph: (410) 970-6964 |
| NPI Number | 1700265055 |
|---|---|
| Provider Enumeration Date | 05/20/2015 |
| Last Update Date | 05/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700265055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC1765 (Maryland) | Primary |
| 1041C0700X | Social Worker - Clinical | 12085 (Maryland) | Secondary |
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