| Mainstreet Counseling Services, Llc | |
|
14514 Main St Upper Marlboro MD 20772-3059 | |
| (301) 627-6816 | |
| Not Available |
| Full Name | Mainstreet Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 14514 Main St, Upper Marlboro, Maryland |
| Authorized Official Name and Position | Jacqueline Angella Payne (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3016276816 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mainstreet Counseling Services, Llc 14514 Main St Upper Marlboro MD 20772-3059 Ph: (301) 627-6816 | Mainstreet Counseling Services, Llc 14514 Main St Upper Marlboro MD 20772-3059 Ph: (301) 627-6816 |
| NPI Number | 1104061258 |
|---|---|
| Provider Enumeration Date | 12/03/2008 |
| Last Update Date | 12/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104061258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | RN117769 (Maryland) | Primary |
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