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Organization
MULTICULTURAL COUNSELING & CONSULTING CENTER LLC
Active
Organization
MULTICULTURAL COUNSELING & CONSULTING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIE FONROSE (CLINICAL DIRECTOR)
(301) 474-0060
Entity
Organization
Contact information
Practice address
5010 SUNNYSIDE AVE STE 201, BELTSVILLE, MD 20705-2300
(301) 474-0060
(301) 474-0068
Mailing address
5010 SUNNYSIDE AVE STE 201, BELTSVILLE, MD 20705-2300
(301) 474-0060
(301) 474-0068
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
103TC1900X
Counseling Psychologist
—
NULL
103TC1900X
Counseling Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
NULL
103TP2701X
Group Psychotherapy Psychologist
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
04/04/2014
Last updated
04/04/2014
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