MEDICARE: S & S 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
1	251S00000X	Community/Behavioral Health Agency	102030	MD

General Provider Information

NPI Number	:	1396944278
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	S & S COUNSELING SERVICES

Provider Business Mailing Address
First Line	:	7021 HARFORD RD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21234-7703
Country	:	US
Telephone Number	:	410-319-7090
Fax Number	:	410-319-7094

Provider Business Practice Location Address
First Line	:	7021 HARFORD RD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21234-7703
Country	:	US
Telephone Number	:	410-319-7090
Fax Number	:	410-319-7094

Authorized Official
Title or Position	:	PARTNER
Name	:	MRS. ANGELA MARIE JONES
Credential	:	CAC-AD
Telephone Number	:	410-319-7090

Provider Enumeration Date	:	07/12/2007
Last Update Date	:	07/12/2007

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Directions to “S & S COUNSELING SERVICES ” Practice Location

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