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Organization
PSYCHOTHERAPY & COUNSELING SERVICE
Active
Organization
PSYCHOTHERAPY & COUNSELING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS PASTOR LCSW-C (OWNER)
(410) 312-7250
Entity
Organization
Contact information
Practice address
10632 LITTLE PATUXENT PKWY, SUITE 245, COLUMBIA, MD 21044-3273
(410) 312-7250
(410) 312-7298
Mailing address
5620 MIRRORLIGHT PL, COLUMBIA, MD 21045-3214
(410) 419-1708
(410) 312-7298
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11610
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2113960
MAMSI/OPTIMUM CHOICE
MD
01
—
528219
VALUE OPTIONS
MD
01
—
585S
MEDICARE ID
MD
01
—
819906526
UNITED BEHAVIORAL HEALTH
MD
01
—
C9HJ
CAREFIRST MARYLAND
MD
01
—
X8120001
CAREFIRST BLUECHOICE
MD
Enumeration date
09/04/2011
Last updated
09/14/2011
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