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General NPI Number Information
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NPI Number | 1629568621
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Entity Type | Organization
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Legal Business Name | UNITED COUNSELING AND SUPPORT SERVICES
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Dates
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Enumeration Date | 05/15/2018
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Last Update Date | 11/17/2024
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Provider Practice Location Address
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Address Line | 9701 APOLLO DR STE 100&330
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City | UPPR MARLBORO
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State | MD
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Zip | 20774-4783
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Country | US
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Telephone | 240-388-1763
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Fax |
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Provider Business Mailing Address
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Address Line | 9701 APOLLO DR STE 100
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City | UPPR MARLBORO
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State | MD
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Zip | 20774-4785
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Country | US
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Telephone | 240-388-1763
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | CHRISTINE DOMINIQUE WATKINS
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Credential |
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Telephone | 240-388-1763
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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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 | 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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