Organization
CTG COUNSELING AND CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHANELL TOYA GAINES LCPC, LPC (OWNER)
(703) 627-9773
Entity
Organization
Contact information
Practice address
9752 WESTPHALIA ST, WALDORF, MD 20603-5365
(703) 627-9773
Mailing address
9752 WESTPHALIA ST, WALDORF, MD 20603-5365
(703) 627-9773
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1490
—
MD
Enumeration date
02/24/2022
Last updated
02/24/2022
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