Organization
INTEGRATED COUNSELING PROFESSIONALS LLC
Active
Other names
Integrated Counseling Professionals LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EARNEST RUSSELL REAVES LCPC (MANAGING MEMBER / CLINICIAN)
(443) 691-4982
Entity
Organization
Contact information
Practice address
1614 E. CHURCHVILLE RD, STE 101A, BEL AIR, MD 21015-2050
(443) 372-8573
Mailing address
1614 E. CHURCHVILLE RD, STE 101A, BEL AIR, MD 21015-2050
(443) 372-8573
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164936738
INSURERS
MD
Enumeration date
12/17/2018
Last updated
12/17/2018
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