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General NPI Number Information
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NPI Number | 1902957319
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Entity Type | Organization
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Legal Business Name | COUNSELING SERVICES, INC.
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Dates
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Enumeration Date | 01/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 150 WASHINGTON BLVD S FL 2
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City | LAUREL
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State | MD
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Zip | 20707-4328
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Country | US
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Telephone | 301-725-5616
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Fax | 301-725-0665
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Provider Business Mailing Address
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Address Line | 150 WASHINGTON BLVD S FL 2
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City | LAUREL
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State | MD
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Zip | 20707-4328
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Country | US
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Telephone | 301-725-5616
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Fax | 301-725-0665
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Authorized Official
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Title or Position | DIRECTOR
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Name | WILLIAM J STRITTMATTER
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Credential | CAC-AD
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Telephone | 301-725-5616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 903093
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License Number State | MD
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