| Under The Moon Counseling | |
|
1012 Capistrano Ct Apt 302 Frederick MD 21703-6305 | |
| (240) 707-8361 | |
| Not Available |
| Full Name | Under The Moon Counseling |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1012 Capistrano Ct Apt 302, Frederick, Maryland |
| Authorized Official Name and Position | Anntana Michelle Brown (COUNSELOR) |
| Authorized Official Contact | 2407078361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Under The Moon Counseling 1012 Capistrano Ct Apt 302 Frederick MD 21703-6305 Ph: (240) 707-8361 | Under The Moon Counseling 1012 Capistrano Ct Apt 302 Frederick MD 21703-6305 Ph: (240) 707-8361 |
| NPI Number | 1407503139 |
|---|---|
| Provider Enumeration Date | 03/02/2022 |
| Last Update Date | 03/02/2022 |
| Certification Date | 03/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407503139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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