Organization
INNOVATION COUNSELING SERVICES INC
Active
Other names
Innovation Counseling Services, Build and Make
Organization subpart
No
Provider details
NPI number
Authorized official
ADEDAYO ADEALA (PRESIDENT)
(240) 917-1380
Entity
Organization
Contact information
Practice address
8400 SNOWDEN LOOP, LAUREL, MD 20708-2358
(240) 838-2245
Mailing address
8400 SNOWDEN LOOP, LAUREL, MD 20708-2358
(240) 838-2245
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003258971
—
MD
Enumeration date
05/19/2022
Last updated
11/20/2024
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