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Organization
WASHINGTON ADVENTIST UNIVERSITY COMMUNITY COUNSELING CENTER
Active
Organization
WASHINGTON ADVENTIST UNIVERSITY COMMUNITY COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDITH ANN UPSHAW LCADC, ABD (CLINICAL SUPERVISOR)
(301) 576-0131
Entity
Organization
Contact information
Practice address
7600 FLOWER AVE, SUITE 441-PSYCHOLOGY DEPARTMENT, TAKOMA PARK, MD 20912-7744
(301) 576-0131
(301) 891-4054
Mailing address
7600 FLOWER AVE, SUITE 441-PSYCHOLOGY DEPARTMENT, TAKOMA PARK, MD 20912-7744
(301) 576-0131
(301) 891-4054
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCA393
MD
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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