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Organization
SEASIDE COUNSELING & WELLNESS CENTER, LLC.
Active
Organization
SEASIDE COUNSELING & WELLNESS CENTER, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY P GINNAVAN LCSW-C (OWNER)
(410) 973-2525
Entity
Organization
Contact information
Practice address
314 FRANKLIN AVE, SUITE 306, BERLIN, MD 21811
(410) 973-2525
(410) 973-2527
Mailing address
314 FRANKLIN AVE, SUITE 306, BERLIN, MD 21811
(410) 973-2525
(410) 973-2527
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/24/2012
Last updated
11/18/2022
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