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Organization

UPPER BAY COUNSELING AND SUPPORT SERVICES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SUANNE BLUMBERG LCPC (CEO)
(410) 996-5104
Entity
Organization

Contact information

Practice address
626 REVOLUTION ST, HAVRE DE GRACE, MD 21078-3320
(410) 939-8744
(410) 939-8748
Mailing address
200 BOOTH ST, ELKTON, MD 21921-5657
(410) 996-5104
(410) 996-5197

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
10/09/2009
Last updated
07/14/2021
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