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Organization
NEW LIFE ADDICTION COUNSELING SERVICES, INC.
Active
Organization
NEW LIFE ADDICTION COUNSELING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY ANN ERVIN (DIRECTOR)
(410) 255-4475
Entity
Organization
Contact information
Practice address
2528 MOUNTAIN RD, SUITE 204, PASADENA, MD 21122-7203
(410) 255-4475
(410) 255-6277
Mailing address
2528 MOUNTAIN RD, SUITE 204, PASADENA, MD 21122-7203
(410) 255-4475
(410) 255-6277
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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