| Integrative Brain Health Llc | |
|
1914 Bel Air Rd Fallston MD 21047-2724 | |
| (410) 387-9823 | |
| Not Available |
| Full Name | Integrative Brain Health Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1914 Bel Air Rd, Fallston, Maryland |
| Authorized Official Name and Position | Victoria L. Little (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 4103879823 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Brain Health Llc 1914 Bel Air Rd Fallston MD 21047-2724 Ph: (410) 387-9823 | Integrative Brain Health Llc 1914 Bel Air Rd Fallston MD 21047-2724 Ph: (410) 387-9823 |
| NPI Number | 1356052112 |
|---|---|
| Provider Enumeration Date | 12/12/2022 |
| Last Update Date | 12/12/2022 |
| Certification Date | 12/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356052112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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