Organization
FORTITUDE COUNSELING CENTER LLC
Active
Organization
FORTITUDE COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CORNEALIUS L STAMPS LCSW, LCSW-C (DIRECTOR)
(240) 863-2820
Entity
Organization
Contact information
Practice address
6710 OXON HILL RD STE 210, OXON HILL, MD 20745-1124
(240) 863-2820
Mailing address
137 NATIONAL PLZ STE 300, OXON HILL, MD 20745-1153
(240) 863-2820
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303314700
—
MD
Enumeration date
04/30/2019
Last updated
04/30/2019
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