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NPI Code Detail

MEDICARE: TIM ASHDOWN COUNSELING

MEDICARE: TIM ASHDOWN 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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1629931134
Entity Type Code : Organization
Provider Name (Legal Business Name) : TIM ASHDOWN COUNSELING
Provider Business Mailing Address
First Line : 324 MAIN ST FL 2
Second Line :
City : REISTERSTOWN
State : MD
Zip : 21136-1955
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 324 MAIN ST FL 2
Second Line :
City : REISTERSTOWN
State : MD
Zip : 21136-1955
Country : US
Telephone Number : 443-844-4750
Fax Number :
Authorized Official
Title or Position : COUNSELOR
Name : TIMOTHY ASHDOWN
Credential :
Telephone Number : 443-844-4750
Provider Enumeration Date : 12/03/2025
Last Update Date : 12/03/2025

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