Organization
SAFE SPACE COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XIAORAN ZHAO LCPC (MENTAL HEALTH THERAPIST)
(410) 604-8776
Entity
Organization
Contact information
Practice address
675 SEAWAVE CT, MIDDLE RIVER, MD 21220-2379
(410) 604-8776
Mailing address
675 SEAWAVE CT, MIDDLE RIVER, MD 21220-2379
(410) 604-8776
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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