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Organization
CLOVERLEAF COUNSELING SERVICES, LLC
Active
Organization
CLOVERLEAF COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN PATRICIA INNISS LCPC (OWNER)
(301) 542-6800
Entity
Organization
Contact information
Practice address
6790 CRAIN HWY, LA PLATA, MD 20646-4950
(301) 542-6800
Mailing address
816 WASHINGTON AVE, LA PLATA, MD 20646-9470
(301) 542-6800
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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