Organization
CHESAPEAKE COUNSELING
Active
Organization
CHESAPEAKE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINDY THIEL PHD (DIRECTOR)
(301) 231-9001
Entity
Organization
Contact information
Practice address
10605 CONCORD ST, SUITE #207, KENSINGTON, MD 20895-2504
(301) 231-9001
Mailing address
PO BOX 113, GARRETT PARK, MD 20896-0113
(301) 231-9001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16402
MD
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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