| Na | |
|
41660 Courthouse Dr Leonardtown MD 20650-3887 | |
| (240) 309-2351 | |
| (240) 526-2347 |
| Full Name | Na |
|---|---|
| Speciality | Counselor - Professional |
| Location | 41660 Courthouse Dr, Leonardtown, Maryland |
| Authorized Official Name and Position | Gersende B Schleicher (THERAPIST, OWNER) |
| Authorized Official Contact | 2403092351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Na Po Box 139 Leonardtown MD 20650-0139 Ph: (240) 309-2351 | Na 41660 Courthouse Dr Leonardtown MD 20650-3887 Ph: (240) 309-2351 |
| NPI Number | 1306546320 |
|---|---|
| Provider Enumeration Date | 03/08/2023 |
| Last Update Date | 03/08/2023 |
| Certification Date | 03/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306546320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (NU) | Primary |
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