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Organization

SOLA GRATIA COUNSELING CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINE HAINES LCSW (OWNER)
(301) 697-4975
Entity
Organization

Contact information

Practice address
13850 FIR TREE LN, CUMBERLAND, MD 21502-5959
(240) 301-3052
Mailing address
13850 FIR TREE LN, CUMBERLAND, MD 21502-5959

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
Primary
103T00000X
Psychologist
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
10/09/2023
Last updated
10/09/2023
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