| Vincent Counseling, Llc | |
|
7519 Haines Ct Laurel MD 20707-3345 | |
| (443) 303-9205 | |
| Not Available |
| Full Name | Vincent Counseling, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 7519 Haines Ct, Laurel, Maryland |
| Authorized Official Name and Position | Tara M Woodard (OFFICE MANAGER) |
| Authorized Official Contact | 6672007175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vincent Counseling, Llc 7519 Haines Ct Laurel MD 20707-3345 Ph: (443) 303-9205 | Vincent Counseling, Llc 7519 Haines Ct Laurel MD 20707-3345 Ph: (443) 303-9205 |
| NPI Number | 1245778166 |
|---|---|
| Provider Enumeration Date | 02/11/2017 |
| Last Update Date | 02/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245778166 | NPI | - | NPPES |
| 905028 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | PRC11 (District Of Columbia) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCA139 (Maryland) | Primary |
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