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Organization
RESILIENT CHILD THERAPY INSTITUTE, LLC
Active
Organization
RESILIENT CHILD THERAPY INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIAN OWENS LCSW-C (OWNER/THERAPIST)
(240) 416-2355
Entity
Organization
Contact information
Practice address
9500 ARENA DR STE 364, LARGO, MD 20774-3715
(301) 861-4632
Mailing address
9500 ARENA DR STE 364, LARGO, MD 20774-3715
(301) 861-4632
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/22/2017
Last updated
10/22/2017
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