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NPI Code Detail

MEDICARE: BEHAVIORAL COUNSELING SERVICES OF WASHINGTON COUNTY, INC.

MEDICARE: BEHAVIORAL COUNSELING SERVICES OF WASHINGTON COUNTY, 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
1363L00000XNurse Practitioner
22084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1912492653
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEHAVIORAL COUNSELING SERVICES OF WASHINGTON COUNTY, INC.
Provider Business Mailing Address
First Line : 124 E BALTIMORE ST
Second Line :
City : HAGERSTOWN
State : MD
Zip : 21740-6104
Country : US
Telephone Number : 301-739-7748
Fax Number :
Provider Business Practice Location Address
First Line : 427 E PATRICK ST
Second Line :
City : FREDERICK
State : MD
Zip : 21701-5777
Country : US
Telephone Number : 301-662-7003
Fax Number :
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : CHRISTINA TRENTON NEE
Credential : LCSW-C
Telephone Number : 301-739-7748
Provider Enumeration Date : 06/26/2018
Last Update Date : 06/26/2018

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