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NPI Code Detail

MEDICARE: CENTREPOINTE COUNSELING, INC.

MEDICARE: CENTREPOINTE COUNSELING, INC.
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
1101YP1600XPastoral Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528014966
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTREPOINTE COUNSELING, INC.
Provider Business Mailing Address
First Line : PO BOX 339
Second Line :
City : ASHTON
State : MD
Zip : 20861-0339
Country : US
Telephone Number : 800-491-5369
Fax Number : 301-774-3678
Provider Business Practice Location Address
First Line : 17826 NEW HAMPSHIRE AVE
Second Line :
City : ASHTON
State : MD
Zip : 20861-9781
Country : US
Telephone Number : 800-491-5369
Fax Number : 301-774-3678
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : MRS. MATTHEW RAEDER
Credential : LCSW-C
Telephone Number : 800-491-5369
Provider Enumeration Date : 05/26/2006
Last Update Date : 02/23/2022

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Directions to “CENTREPOINTE COUNSELING, INC. ” Practice Location

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