Organization
BALTIMORE METROPOLITAN COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD RIAZ AHMAD CAC-AD (ADMINISTRATOR)
(410) 788-6407
Entity
Organization
Contact information
Practice address
17 WARREN RD STE 24A, PIKESVILLE, MD 21208-5012
(410) 807-2316
Mailing address
1415 GIBSONWOOD RD, CATONSVILLE, MD 21228-2524
(410) 788-6407
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CAC-AD, AC0313
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC-AD, AC0313
MD
101YM0800X
Mental Health Counselor
Primary
CAC-AD, AC 0313
MD
101YM0800X
Mental Health Counselor
CAC-AD, AC0313
MD
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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