Organization
AIDAN COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY T MOORE LCPC (EXECUTIVE DIRECTOR)
(202) 494-0955
Entity
Organization
Contact information
Practice address
14300 GALLANT FOX LN STE 213, BOWIE, MD 20715-4033
(202) 494-0955
Mailing address
14300 GALLANT FOX LN STE 213, BOWIE, MD 20715-4033
(202) 494-0955
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC4811
MD
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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