| Shaping | |
|
15630 Old Columbia Pike # 178 Burtonsville MD 20866-1617 | |
| (301) 254-7845 | |
| Not Available |
| Full Name | Shaping |
|---|---|
| Speciality | Counselor - Professional |
| Location | 15630 Old Columbia Pike # 178, Burtonsville, Maryland |
| Authorized Official Name and Position | Karen Joyner (THERAPIST) |
| Authorized Official Contact | 3012547845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shaping 2742 Sweet Clover Ct Silver Spring MD 20904-1888 Ph: (301) 254-7845 | Shaping 15630 Old Columbia Pike # 178 Burtonsville MD 20866-1617 Ph: (301) 254-7845 |
| NPI Number | 1144097049 |
|---|---|
| Provider Enumeration Date | 12/11/2023 |
| Last Update Date | 10/15/2024 |
| Certification Date | 10/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144097049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (NU) | Primary |
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