| Cleary Psychotherapy & Consulting, Llc | |
|
41620 Courthouse Drive Suite 7 Leonardtown MD 20650 | |
| (443) 968-4989 | |
| (301) 475-5738 |
| Full Name | Cleary Psychotherapy & Consulting, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 41620 Courthouse Drive, Leonardtown, Maryland |
| Authorized Official Name and Position | Sandra L Cleary (DIRECTOR/PSYCHOTHERAPIST) |
| Authorized Official Contact | 4439684989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cleary Psychotherapy & Consulting, Llc Po Box 682 Prince Frederick MD 20678-0682 Ph: (443) 968-4989 | Cleary Psychotherapy & Consulting, Llc 41620 Courthouse Drive Suite 7 Leonardtown MD 20650 Ph: (443) 968-4989 |
| NPI Number | 1083903942 |
|---|---|
| Provider Enumeration Date | 03/31/2011 |
| Last Update Date | 03/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083903942 | NPI | - | NPPES |
| 58956180 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC3736 (Maryland) | Primary |
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