| Self-disclosure Counseling Services | |
|
19727 Executive Park Cir Germantown MD 20874-2642 | |
| (301) 972-1373 | |
| Not Available |
| Full Name | Self-disclosure Counseling Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 19727 Executive Park Cir, Germantown, Maryland |
| Authorized Official Name and Position | Sean A. Hayes (OWNER) |
| Authorized Official Contact | 3019721373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Self-disclosure Counseling Services Po Box 882 Clarksburg MD 20871-0882 Ph: () - | Self-disclosure Counseling Services 19727 Executive Park Cir Germantown MD 20874-2642 Ph: (301) 972-1373 |
| NPI Number | 1174036636 |
|---|---|
| Provider Enumeration Date | 11/07/2017 |
| Last Update Date | 11/02/2021 |
| Certification Date | 11/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174036636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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