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NPI Code Detail

MEDICARE: CHRIST CENTERED COUNSELING

MEDICARE: CHRIST CENTERED COUNSELING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1194336206
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHRIST CENTERED COUNSELING
Provider Business Mailing Address
First Line : 8865 STANFORD BLVD STE 202
Second Line :
City : COLUMBIA
State : MD
Zip : 21045-5422
Country : US
Telephone Number : 410-935-1821
Fax Number :
Provider Business Practice Location Address
First Line : 8865 STANFORD BLVD STE 202
Second Line :
City : COLUMBIA
State : MD
Zip : 21045-5422
Country : US
Telephone Number : 410-935-1821
Fax Number :
Authorized Official
Title or Position : CEO
Name : DR. JUDY ANN SHEPPARD
Credential : LCADC, LCPC
Telephone Number : 410-935-1821
Provider Enumeration Date : 08/12/2020
Last Update Date : 03/29/2025

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Directions to “CHRIST CENTERED COUNSELING ” Practice Location

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