| Easter Seals DC MD VA | |
|
6400b Allentown Rd Temple Hills MD 20748-2611 | |
| (301) 920-9712 | |
| Not Available |
| Full Name | Easter Seals DC MD VA |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6400b Allentown Rd, Temple Hills, Maryland |
| Authorized Official Name and Position | Elizabeth Guroff (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 3019209712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals DC MD VA 1420 Spring St Silver Spring MD 20910-2701 Ph: (301) 920-9712 | Easter Seals DC MD VA 6400b Allentown Rd Temple Hills MD 20748-2611 Ph: (301) 920-9712 |
| NPI Number | 1215740212 |
|---|---|
| Provider Enumeration Date | 01/31/2025 |
| Last Update Date | 01/31/2025 |
| Certification Date | 01/31/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215740212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Primary |
| 1041C0700X | Social Worker - Clinical | (NU) | Secondary |
| 106H00000X | Marriage & Family Therapist | (NU) | Secondary |
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