Organization
INTACT COUNSELING SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILYN EVANS LCPC (FOUNDER, CEO)
(301) 885-9760
Entity
Organization
Contact information
Practice address
10515 THEODORE GREEN BLVD, SUITE 214, WHITE PLAINS, MD 20695-3042
(301) 885-9760
(301) 753-1919
Mailing address
10515 THEODORE GREEN BLVD, SUITE 214, WHITE PLAINS, MD 20695-3042
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LC3432
MD
Other
Enumeration date
03/15/2010
Last updated
09/09/2010
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