Organization
COMMUNITY COUNSELING ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN R MAY PHD (DIRECTOR)
(410) 992-7288
Entity
Organization
Contact information
Practice address
10774 HICKORY RIDGE RD, COLUMBIA, MD 21044
(410) 992-7288
(410) 997-2880
Mailing address
10774 HICKORY RIDGE RD, COLUMBIA, MD 21044
(410) 992-7288
(410) 997-2880
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2867
BLUECROSS BLUESHEILD
DC
01
—
LW80
BLUECROSS BLUESHEILD
MD
Enumeration date
10/03/2005
Last updated
08/22/2020
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