# AMERICAN CTR FOR INTELLECTUAL AND DIVERSE DISORDERS FOR COUNSELING INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ACIDD for Counseling
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114313665
- **Authorized official:** DR. JOSEPH MATHEW (PRESIDENT)
- **Authorized official phone:** (301) 377-0750

## Contact information

- **Practice address:** 300 THOMAS DR STE A, LAUREL, MD 20707-4700
- **Practice address phone:** (301) 377-0750
- **Practice address fax:** (301) 377-0463
- **Mailing address:** 300 THOMAS DR STE A, LAUREL, MD 20707-4700
- **Mailing address phone:** (301) 377-0750
- **Mailing address fax:** (301) 377-0463

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 03099 | MD | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 2012014161 | MD | Yes |

## Other

- **Enumeration date:** 04/11/2015
- **Last updated:** 07/01/2016