Organization
BALLENGER CREEK COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA LYNN ROBERTS LCSW-C (CEO)
(240) 415-8089
Entity
Organization
Contact information
Practice address
4305 CALVERT CIR, FREDERICK, MD 21703-7550
(240) 415-8089
Mailing address
4305 CALVERT CIR, FREDERICK, MD 21703-7550
(240) 415-8089
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558879148
BEHAVIORAL HEALTH
MD
Enumeration date
08/22/2023
Last updated
08/22/2023
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