# DXT THERAPEUTIC SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033002050
- **Authorized official:** MICHELLE F HARE LGADC, CAC, CSC, TRA (CLINICAL ALCOHOL AND DRUG SUPERVISO)
- **Authorized official phone:** (240) 676-2895

## Contact information

- **Practice address:** 7610 PENNSYLVANIA AVE STE 301, FORESTVILLE, MD 20747-4764
- **Practice address phone:** (240) 838-3707
- **Practice address fax:** (240) 470-1223
- **Mailing address:** 7610 PENNSYLVANIA AVE STE 301, FORESTVILLE, MD 20747-4764
- **Mailing address phone:** (240) 838-3707
- **Mailing address fax:** (240) 470-1223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 05/29/2025
- **Last updated:** 05/29/2025