Organization
CARDINAL COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLI DIETRICH LCSW-C (OWNER / THERAPIST)
(443) 487-6043
Entity
Organization
Contact information
Practice address
5104 S CHURCH ST, LINEBORO, MD 21102-3133
(443) 299-7410
Mailing address
5104 S CHURCH ST, LINEBORO, MD 21102-3133
(443) 299-7410
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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