| Whole Professional Llc | |
|
9124 Copenhaver Dr Potomac MD 20854-3013 | |
| (301) 251-2924 | |
| Not Available |
| Full Name | Whole Professional Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 9124 Copenhaver Dr, Potomac, Maryland |
| Authorized Official Name and Position | Susan Shallcross (PRESIDENT/CEO) |
| Authorized Official Contact | 2027449116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whole Professional Llc 9124 Copenhaver Dr Potomac MD 20854-3013 Ph: (301) 251-2924 | Whole Professional Llc 9124 Copenhaver Dr Potomac MD 20854-3013 Ph: (301) 251-2924 |
| NPI Number | 1033802624 |
|---|---|
| Provider Enumeration Date | 05/30/2023 |
| Last Update Date | 05/30/2023 |
| Certification Date | 05/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033802624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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