Organization
CHESAPEAKE CHURCH
Active
Other names
Chesapeake Christian Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN BRUNGARD LCSW-C (MANAGING DIRECTOR)
(410) 257-5200
Entity
Organization
Contact information
Practice address
6045 SOLOMONS ISLAND RD, HUNTINGTOWN, MD 20639-8876
(410) 257-5200
(410) 257-2442
Mailing address
6045 SOLOMONS ISLAND RD, HUNTINGTOWN, MD 20639-8876
(410) 257-5200
(410) 257-2442
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F453
CAREFIRST BLUECHOICE
MD
01
—
LP57
CAREFIRST BC/BS
MD
Enumeration date
06/02/2005
Last updated
03/05/2008
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