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Organization
ENABLING CHANGE REBUILDING COMMUNITIES EACH COUNSELING SERVICES
Active
Organization
ENABLING CHANGE REBUILDING COMMUNITIES EACH COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERICA E. NOBLE (CEO)
(443) 219-6682
Entity
Organization
Contact information
Practice address
10640 MAIN ST., SUITE 105, FAIRFAX, VA 22030
(804) 742-2858
(240) 414-0800
Mailing address
9400 GRAND BLVD APT 1306, UPPER MARLBORO, MD 20774-2646
(443) 219-6682
(240) 414-0080
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
05/28/2018
Last updated
04/07/2021
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