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NPI Code Detail

MEDICARE: MICHAEL MCRAE COUNSELING SERVICES

MEDICARE: MICHAEL MCRAE COUNSELING SERVICES
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
1101Y00000XCounselor
2101YM0800XMental Health Counselor
3101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1194343475
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHAEL MCRAE COUNSELING SERVICES
Provider Business Mailing Address
First Line : 1201 PHILADELPHIA PIKE
Second Line :
City : WILMINGTON
State : DE
Zip : 19809-2042
Country : US
Telephone Number : 302-798-7033
Fax Number :
Provider Business Practice Location Address
First Line : 1201 PHILADELPHIA PIKE
Second Line :
City : WILMINGTON
State : DE
Zip : 19809-2042
Country : US
Telephone Number : 302-798-7033
Fax Number :
Authorized Official
Title or Position : OWNER/COUNSELOR
Name : MICHAEL MCRAE
Credential : M. ED. CAADC, LMSW
Telephone Number : 302-798-7033
Provider Enumeration Date : 07/13/2020
Last Update Date : 07/13/2020

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