Organization
AFFINITY COUNSELING AND FAMILY LIFE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY VAN PUTTEN-GARDNER PH.D. (PRESIDENT)
(301) 317-8050
Entity
Organization
Contact information
Practice address
10632 LITTLE PATUXENT PKWY, SUITE 343, COLUMBIA, MD 21044-3273
(888) 737-3330
Mailing address
10632 LITTLE PATUXENT PKWY, SUITE 343, COLUMBIA, MD 21044-3273
(888) 737-3330
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LC4143
MD
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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