| Michael Cardaci, Lcpc, Llc | |
|
2616 Chapel Lake Dr Ste B Gambrills MD 21054-1637 | |
| (410) 714-1720 | |
| (410) 775-9770 |
| Full Name | Michael Cardaci, Lcpc, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2616 Chapel Lake Dr Ste B, Gambrills, Maryland |
| Authorized Official Name and Position | Michael D Cardaci (RESIDENT AGENT/OWNER) |
| Authorized Official Contact | 4107141720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Cardaci, Lcpc, Llc 242 Nathan Way Millersville MD 21108-1033 Ph: (410) 714-1720 | Michael Cardaci, Lcpc, Llc 2616 Chapel Lake Dr Ste B Gambrills MD 21054-1637 Ph: (410) 714-1720 |
| NPI Number | 1730863622 |
|---|---|
| Provider Enumeration Date | 06/12/2023 |
| Last Update Date | 07/14/2023 |
| Certification Date | 07/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730863622 | NPI | - | NPPES |
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