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Organization

COUNSELORS IN THE COMMUNITY ASSOCIATION CO.

Active
Other names
CITCA
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JACQUELINE HARRIS STEVENSON MSIOP (EXECUTIVE DIRECTOR)
(866) 500-0133
Entity
Organization

Contact information

Practice address
145 W OSTEND ST, BALTIMORE, MD 21230-3764
(866) 500-0133
Mailing address
145 W OSTEND ST STE 600, BALTIMORE, MD 21230-3774
(866) 500-0133
(866) 500-0133

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
171M00000X
Case Manager/Care Coordinator
Primary
174H00000X
Health Educator
225C00000X
Rehabilitation Counselor

Other

Enumeration date
10/20/2023
Last updated
12/11/2023
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