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5716 66th Ave Riverdale MD 20737-1712 | |
| (571) 290-8578 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5716 66th Ave, Riverdale, Maryland |
| Authorized Official Name and Position | Andrea Oliver (CLINICAL MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 2404719914 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5716 66th Ave Riverdale MD 20737-1712 Ph: (571) 290-8578 | 5716 66th Ave Riverdale MD 20737-1712 Ph: (571) 290-8578 |
| NPI Number | 1124831276 |
|---|---|
| Provider Enumeration Date | 01/30/2025 |
| Last Update Date | 02/06/2025 |
| Certification Date | 02/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124831276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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