Harford Psychedelic Therapy
Counselor, Mental Health in Bel Air, MD. Organization (NPI-2).
NPI number1689397168
StatusActive
Last updated in NPPESJul 19, 2024
Details
- NPI
- 1689397168
- Entity type
- Organization (NPI-2)
- Legal business name
- Harford Psychedelic Therapy
- Organization subpart
- No
- Enumeration date
- Sep 20, 2022
- Certification date
- Jul 19, 2024
- Last updated
- Jul 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
1212 E Churchville Rd Ste 201Bel Air, MD 21014-3481
Phone 443-955-9648
Mailing address
1212 E Churchville Rd Ste 201Bel Air, MD 21014-3481
Phone 443-955-9648
Authorized official
Jonathan E Drumgoole
President
4439559648
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