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Organization
EASTERN SHORE PSYCHOLOGICAL SERVICES, LLC
Active
Organization
EASTERN SHORE PSYCHOLOGICAL SERVICES, LLC
Active
Parent organization
EASTERN SHORE PSYCHOLOGICAL SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EASTERN SHORE PSYCHOLOGICAL SERVICES, LLC
Authorized official
CATHY K BURKHARD (ESPS BILLING SUPERVISOR & CREDENTIA)
(410) 334-6961
Entity
Organization
Contact information
Practice address
315 HIGH ST STE 201, CHESTERTOWN, MD 21620-1350
(410) 334-6961
Mailing address
2336 GODDARD PKWY, SALISBURY, MD 21801-1126
(410) 334-6961
(410) 334-6362
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/03/2016
Last updated
09/20/2016
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