| Candace Crew Llc | |
|
4500 Black Rock Rd Ste 103 Hampstead MD 21074-2649 | |
| (443) 804-2583 | |
| Not Available |
| Full Name | Candace Crew Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4500 Black Rock Rd Ste 103, Hampstead, Maryland |
| Authorized Official Name and Position | Candace Crew (CLINICAL THERAPIST) |
| Authorized Official Contact | 4438042583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Candace Crew Llc 2801 Mattingly Dr Manchester MD 21102-1880 Ph: (443) 804-2583 | Candace Crew Llc 4500 Black Rock Rd Ste 103 Hampstead MD 21074-2649 Ph: (443) 804-2583 |
| NPI Number | 1639933153 |
|---|---|
| Provider Enumeration Date | 02/06/2024 |
| Last Update Date | 02/06/2024 |
| Certification Date | 02/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639933153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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