Organization
GUIDING LIGHT THERAPEUTIC SERVICES
Active
Other names
Guiding Light Therapeutic Services
Organization subpart
No
Provider details
NPI number
Authorized official
NODIA MARSHALL LPC, LCPC (OWNER)
(301) 379-4211
Entity
Organization
Contact information
Practice address
4404 QUEENSBURY RD STE 105, RIVERDALE, MD 20737-1074
(301) 379-4211
Mailing address
4404 QUEENSBURY RD STE 105, RIVERDALE, MD 20737-1074
(301) 379-4211
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LC6789
MD
101YM0800X
Mental Health Counselor
Primary
PRC14502
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11556100
—
MD
Enumeration date
11/09/2017
Last updated
06/16/2018
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