Watershed Counseling Services, Llc | |
246 Merrimac Court Prince Frederick MD 20678-0453 | |
(443) 486-4848 | |
Not Available |
Full Name | Watershed Counseling Services, Llc |
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Speciality | Counselor - Professional |
Location | 246 Merrimac Court, Prince Frederick, Maryland |
Authorized Official Name and Position | Karen E Ray (DIRECTOR) |
Authorized Official Contact | 4434864848 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Watershed Counseling Services, Llc Po Box 453 Prince Frederick MD 20678-0453 Ph: (443) 486-4848 | Watershed Counseling Services, Llc 246 Merrimac Court Prince Frederick MD 20678-0453 Ph: (443) 486-4848 |
NPI Number | 1770938953 |
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Provider Enumeration Date | 04/26/2016 |
Last Update Date | 04/26/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770938953 | NPI | - | NPPES |
D298254 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LC3657 (Maryland) | Primary |
1041C0700X | Social Worker - Clinical | 11812 (Maryland) | Secondary |
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