Organization
ACCESS COUNSELING SERVICES OF COLUMBIA LLC
Active
Organization
ACCESS COUNSELING SERVICES OF COLUMBIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY LOUIS MOSS PH.D, LCSW-C (LICENSED CLINICAL SOCIAL WORKER)
(410) 995-5555
Entity
Organization
Contact information
Practice address
5005 STRAIGHT STAR PLACE, COLUMBIA, MD 21044-5902
(410) 995-5555
(410) 995-5556
Mailing address
5005 STRAIGHT STAR PLACE, COLUMBIA, MD 21044-5902
(410) 995-5555
(410) 995-5556
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00970
MD
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216390
MANAGED HEALTH NETWORK
—
01
—
7125148
AETNA US HEALTHCARE
—
01
—
H124
CAREFIRST BLUECHOICE
MD
01
—
KH91AC
CAREFIRST BLUECROSS
MD
Enumeration date
05/02/2007
Last updated
10/11/2011
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