| Evergreen Child And Family Therapy, Llc | |
|
10007 Renfrew Rd Silver Spring MD 20901-2220 | |
| (717) 887-2132 | |
| Not Available |
| Full Name | Evergreen Child And Family Therapy, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 10007 Renfrew Rd, Silver Spring, Maryland |
| Authorized Official Name and Position | Jessica Lynn Brenneman Hardaway (CO-OWNER) |
| Authorized Official Contact | 7178872132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Child And Family Therapy, Llc 10007 Renfrew Rd Silver Spring MD 20901-2220 Ph: () - | Evergreen Child And Family Therapy, Llc 10007 Renfrew Rd Silver Spring MD 20901-2220 Ph: (717) 887-2132 |
| NPI Number | 1730847856 |
|---|---|
| Provider Enumeration Date | 12/06/2021 |
| Last Update Date | 12/06/2021 |
| Certification Date | 12/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730847856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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