| Core Counseling Services | |
|
9475 Deereco Rd Ste 410 Timonium MD 21093-2124 | |
| (410) 560-6135 | |
| (410) 560-6136 |
| Full Name | Core Counseling Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 9475 Deereco Rd Ste 410, Timonium, Maryland |
| Authorized Official Name and Position | Marquerite Petranella Laban (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 4105606135 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Core Counseling Services 9475 Deereco Rd Ste 410 Timonium MD 21093-2124 Ph: (410) 560-6135 | Core Counseling Services 9475 Deereco Rd Ste 410 Timonium MD 21093-2124 Ph: (410) 560-6135 |
| NPI Number | 1164895546 |
|---|---|
| Provider Enumeration Date | 11/05/2015 |
| Last Update Date | 08/08/2023 |
| Certification Date | 08/08/2023 |
| Medicare PECOS PAC ID | 1153694187 |
|---|---|
| Medicare Enrollment ID | O20170915000208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164895546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 05240 (Maryland) | Primary |
| Provider Name | Marquerite Petranella Laban |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659472090 PECOS PAC ID: 3476778424 Enrollment ID: I20140707001059 |
| Provider Name | Kathryn Macdougall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427557438 PECOS PAC ID: 4284995788 Enrollment ID: I20180226000564 |
| Provider Name | Elizabeth Omopariola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821727223 PECOS PAC ID: 4385028174 Enrollment ID: I20220829000118 |
| Provider Name | Michelle Hann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710331004 PECOS PAC ID: 2365936580 Enrollment ID: I20251215001079 |
| Provider Name | Shelby Lynn Bruggeman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235915588 PECOS PAC ID: 2860987435 Enrollment ID: I20251220000225 |
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