Organization
NOCD MARYLAND PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY TRUSKY (COO)
(847) 436-3265
Entity
Organization
Contact information
Practice address
3524 BIG WOODS RD, IJAMSVILLE, MD 21754-9422
(847) 436-3265
Mailing address
225 N MICHIGAN AVE STE 1430, CHICAGO, IL 60601-7653
(847) 436-3265
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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