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General NPI Number Information
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NPI Number | 1083005870
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Entity Type | Organization
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Legal Business Name | THE COUNSELING CENTER OF MARYLAND
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Dates
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Enumeration Date | 02/15/2015
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Last Update Date | 06/06/2018
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Provider Practice Location Address
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Address Line | 8030 WOODMONT AVENUE 3RD FLOOR
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City | BETHESDA
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State | MD
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Zip | 20814
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Country | US
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Telephone | 301-742-2282
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Fax | 301-802-2146
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Provider Business Mailing Address
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Address Line | 8030 WOODMONT AVENUE 3RD FLOOR
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City | BETHESDA
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State | MD
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Zip | 20814
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Country | US
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Telephone | 301-742-2282
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Fax | 301-802-2146
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Authorized Official
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Title or Position | FOUNDER/DIRECTOR
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Name | MS. MARJONE LAUREN KREPPEL
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Credential | LCPC
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Telephone | 301-651-0303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LC6929
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License Number State | MD
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