| New Avenues Counseling Llc | |
|
9868 Softwater Way Columbia MD 21046-1825 | |
| (443) 583-4421 | |
| Not Available |
| Full Name | New Avenues Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9868 Softwater Way, Columbia, Maryland |
| Authorized Official Name and Position | Antanique Edmonds Buckley (OWNER) |
| Authorized Official Contact | 4435034421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Avenues Counseling Llc 9868 Softwater Way Columbia MD 21046-1825 Ph: () - | New Avenues Counseling Llc 9868 Softwater Way Columbia MD 21046-1825 Ph: (443) 583-4421 |
| NPI Number | 1487357661 |
|---|---|
| Provider Enumeration Date | 03/24/2023 |
| Last Update Date | 03/24/2023 |
| Certification Date | 03/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487357661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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