Organization
CHANNEL MARKER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE CASSELL LCSW-C (PROGRAM DIRECTOR)
(410) 822-4619
Entity
Organization
Contact information
Practice address
8865 GLEBE PARK DR, UNIT 1, EASTON, MD 21601-7003
(410) 822-4619
(410) 822-0984
Mailing address
8865 GLEBE PARK DR, UNIT 1, EASTON, MD 21601-7003
(410) 822-4619
(410) 822-0984
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MD
1041C0700X
Clinical Social Worker
—
MD
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3685021 00
—
MD
05
—
3685021 02
—
MD
Enumeration date
05/17/2007
Last updated
09/28/2018
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