Organization
CLEAR WATERS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN MICHAEL JACQUES LSWC-C (OWNER/MANAGING MEMBER)
(240) 332-0797
Entity
Organization
Contact information
Practice address
9093 RIDGEFIELD DR STE 206, FREDERICK, MD 21701-6712
(240) 332-0797
(240) 666-8506
Mailing address
11217 MAPLEVILLE RD APT B, SMITHSBURG, MD 21783-1801
(240) 382-0169
(240) 666-8506
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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