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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