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NPI 1427868793

NPI 1427868793 : INNER COMPASS COUNSELING GROUP, LLC : ODENTON, MD

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General NPI Number Information
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    NPI Number           |    1427868793
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    Entity Type          |    Organization 
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    Legal Business Name  |    INNER COMPASS COUNSELING GROUP, LLC 
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Dates
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    Enumeration Date     |    01/09/2025
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    Last Update Date     |    10/10/2025
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Provider Practice Location Address
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    Address Line         |    1036 LILY WAY 
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    City                 |    ODENTON
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    State                |    MD
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    Zip                  |    21113-3853
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    Country              |    US
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    Telephone            |    410-980-5966
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    Fax                  |    410-941-6204
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Provider Business Mailing Address
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    Address Line         |    3438 EMMORTON RD # 16 
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    City                 |    ABINGDON
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    State                |    MD
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    Zip                  |    21009-2016
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    Country              |    US
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    Telephone            |    410-980-5966
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    Fax                  |    410-941-6204
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. ADAM JAMES FREITAG 
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    Credential           |    LCSW, LCSW-C
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    Telephone            |    410-980-5966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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