# NOCD MARYLAND PC

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

## Provider details

- **NPI number:** 1326669441
- **Authorized official:** LARRY TRUSKY (COO)
- **Authorized official phone:** (847) 436-3265

## Contact information

- **Practice address:** 3524 BIG WOODS RD, IJAMSVILLE, MD 21754-9422
- **Practice address phone:** (847) 436-3265
- **Mailing address:** 225 N MICHIGAN AVE STE 1430, CHICAGO, IL 60601-7653
- **Mailing address phone:** (847) 436-3265

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 04/29/2020
- **Last updated:** 04/29/2020