Organization
CENTRE PARK COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH P DELLINGER (ADMINISTRATOR)
(317) 690-6013
Entity
Organization
Contact information
Practice address
8808 CENTRE PARK DR, SECOND FLOOR, COLUMBIA, MD 21045-2126
(317) 690-6013
Mailing address
10141 BELL INN LN, ELLICOTT CITY, MD 21042-5650
(317) 690-6013
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
Primary
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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