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Organization

ANGELS MIND BODY & SPIRIT COUNSELING & CONSULTING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANGEL B HAKIM B.S,M.S, PHD, LCPC (CEO/CLINICAL PSYCHOLOGIST)
(912) 920-0737
Entity
Organization

Contact information

Practice address
1604 GUNPOWDER RIDGE RD, JOPPA, MD 21085-5430
(912) 920-0737
Mailing address
1604 GUNPOWDER RIDGE RD, JOPPA, MD 21085-5430
(912) 920-0737

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1285283861
MD
Enumeration date
07/01/2019
Last updated
02/04/2022
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