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Organization

INSTITUTE FOR BEHAVIORAL CHANGE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HOWARD MABRY PHD (CEO)
(301) 818-0110
Entity
Organization

Contact information

Practice address
2670 CRAIN HWY STE 205, WALDORF, MD 20601-2816
(301) 818-0092
(301) 818-0110
Mailing address
2670 CRAIN HWY STE 205, WALDORF, MD 20601-2816
(301) 818-0092
(301) 818-0110

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
103000A-DT-Y-068
DC
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
1652
DC
1041C0700X
Clinical Social Worker
LC301420
DC

Other

Enumeration date
03/03/2008
Last updated
03/22/2023
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