Organization
GAIA HOLISTIC COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LYNN LYNN MD (MEDICAL DIRECTOR)
(301) 777-0620
Entity
Organization
Contact information
Practice address
134 BALTIMORE ST, CUMBERLAND, MD 21502
(301) 777-0620
(301) 777-2906
Mailing address
134 BALTIMORE ST, CUMBERLAND, MD 21502
(301) 777-0620
(301) 777-2906
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC1720
MD
104100000X
Social Worker
13631
MD
Other
Enumeration date
04/18/2008
Last updated
04/18/2008
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