| Slate Clinical Counseling And Consultation Llc | |
|
13717 Petrel St Clarksburg MD 20871-3403 | |
| (443) 370-9336 | |
| Not Available |
| Full Name | Slate Clinical Counseling And Consultation Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 13717 Petrel St, Clarksburg, Maryland |
| Authorized Official Name and Position | Maxine Marshall (CEO/THERAPIST) |
| Authorized Official Contact | 2403563966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Slate Clinical Counseling And Consultation Llc 13717 Petrel St Clarksburg MD 20871-3403 Ph: (443) 370-9336 | Slate Clinical Counseling And Consultation Llc 13717 Petrel St Clarksburg MD 20871-3403 Ph: (443) 370-9336 |
| NPI Number | 1639857329 |
|---|---|
| Provider Enumeration Date | 07/11/2023 |
| Last Update Date | 07/11/2023 |
| Certification Date | 07/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639857329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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