# MULTICULTURAL COUNSELING & CONSULTING CENTER LLC

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

## Provider details

- **NPI number:** 1407274657
- **Authorized official:** DR. MARIE FONROSE (CLINICAL DIRECTOR)
- **Authorized official phone:** (301) 474-0060

## Contact information

- **Practice address:** 5010 SUNNYSIDE AVE STE 201, BELTSVILLE, MD 20705-2300
- **Practice address phone:** (301) 474-0060
- **Practice address fax:** (301) 474-0068
- **Mailing address:** 5010 SUNNYSIDE AVE STE 201, BELTSVILLE, MD 20705-2300
- **Mailing address phone:** (301) 474-0060
- **Mailing address fax:** (301) 474-0068

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 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