# MENTAL HEALTH ASSOC OF FREDERICK CTY

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

## Provider details

- **NPI number:** 1073349197
- **Authorized official:** SHANNON ALESHIRE (CEO)
- **Authorized official phone:** (301) 695-1630

## Contact information

- **Practice address:** 226 S JEFFERSON ST, FREDERICK, MD 21701-6205
- **Practice address phone:** (301) 663-0011
- **Mailing address:** 226 S JEFFERSON ST, FREDERICK, MD 21701-6205
- **Mailing address phone:** (301) 663-0011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174H00000X | Health Educator | — | NULL | Yes |
| 174H00000X | Health Educator | — | — | Yes |

## Other

- **Enumeration date:** 09/13/2024
- **Last updated:** 09/13/2024