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General NPI Number Information
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NPI Number | 1538702246
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Entity Type | Organization
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Legal Business Name | MONTGOMERY COUNTY COUNSELING CENTER, LLC
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Dates
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Enumeration Date | 10/25/2019
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | 6214 MONTROSE RD
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City | ROCKVILLE
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State | MD
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Zip | 20852-4119
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Country | US
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Telephone | 240-772-1555
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Fax |
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Provider Business Mailing Address
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Address Line | 3206 TOWER OAKS BLVD STE 300
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City | ROCKVILLE
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State | MD
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Zip | 20852-4220
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Country | US
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Telephone | 240-772-1555
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Fax |
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | LAURA GOLDSTEIN
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Credential | LCMFT
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Telephone | 240-772-1555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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