Trauma And Complicated Grief Counseling Services, LLC
Social Worker, Clinical in Catonsville, MD. Organization (NPI-2).
NPI number1649894841
StatusActive
Last updated in NPPESJun 3, 2020
Details
- NPI
- 1649894841
- Entity type
- Organization (NPI-2)
- Legal business name
- Trauma And Complicated Grief Counseling Services, LLC
- Organization subpart
- No
- Enumeration date
- Jun 3, 2020
- Certification date
- Jun 3, 2020
- Last updated
- Jun 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
1009 Frederick RdCatonsville, MD 21228-5055
Phone 443-841-4762
Mailing address
1336 Poplar AveHalethorpe, MD 21227-2614
Phone 240-841-4762
Authorized official
Tamara Lynn Aviles
Owner/Clinical Therapist
2408414762
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