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Organization
CAPITAL CHILDREN'S WELLNESS CENTER
Active
Organization
CAPITAL CHILDREN'S WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE MAIZEL MA, LCPC, RPT (OWNER, CLINICAL DIRECTOR)
(202) 374-6717
Entity
Organization
Contact information
Practice address
8618 WILD OLIVE DR, POTOMAC, MD 20854-3438
(202) 374-6717
Mailing address
8618 WILD OLIVE DR, POTOMAC, MD 20854-3438
(202) 374-6717
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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