Organization
ENABLING CHANGE REBUILDING COMMUNITIES EACH COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERICA E. NOBLE (CEO)
(443) 219-6682
Entity
Organization
Contact information
Practice address
10640 MAIN ST., SUITE 105, FAIRFAX, VA 22030
(804) 742-2858
(240) 414-0800
Mailing address
9400 GRAND BLVD APT 1306, UPPER MARLBORO, MD 20774-2646
(443) 219-6682
(240) 414-0080
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
05/28/2018
Last updated
04/07/2021
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