Organization
MULTICULTURAL COUNSELING & CONSULTING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIE C FONROSE PH.D. (THERAPIST/COUNSELOR)
(240) 533-5784
Entity
Organization
Contact information
Practice address
5010 SUNNYSIDE AVE, SUITE 201, BELTSVILLE, MD 20705-2320
(240) 533-5784
(301) 474-0068
Mailing address
5010 SUNNYSIDE AVE, SUITE 201, BELTSVILLE, MD 20705-2320
(240) 533-5784
(301) 474-0068
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
LC3487
MD
305R00000X
Preferred Provider Organization
Primary
LC3487
MD
Other
Enumeration date
05/11/2010
Last updated
03/05/2014
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