| Trauma And Complicated Grief Counseling Services, Llc | |
|
1009 Frederick Rd Catonsville MD 21228-5055 | |
| (443) 841-4762 | |
| Not Available |
| Full Name | Trauma And Complicated Grief Counseling Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1009 Frederick Rd, Catonsville, Maryland |
| Authorized Official Name and Position | Tamara Lynn Aviles (OWNER/CLINICAL THERAPIST) |
| Authorized Official Contact | 2408414762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trauma And Complicated Grief Counseling Services, Llc 1336 Poplar Ave Halethorpe MD 21227-2614 Ph: (240) 841-4762 | Trauma And Complicated Grief Counseling Services, Llc 1009 Frederick Rd Catonsville MD 21228-5055 Ph: (443) 841-4762 |
| NPI Number | 1649894841 |
|---|---|
| Provider Enumeration Date | 06/03/2020 |
| Last Update Date | 06/03/2020 |
| Certification Date | 06/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649894841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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