Organization
AMERICAN CENTER FOR INTELLECTUAL AND DIVERSE DISORDERS FOR COUNSELING,
Active
Other names
ACIDD for Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH MATHEW PHD (PRESIDENT)
(301) 377-0750
Entity
Organization
Contact information
Practice address
300 THOMAS DR, SUITE A, LAUREL, MD 20707-4700
(301) 377-0750
(301) 377-0463
Mailing address
300 THOMAS DR, SUITE A, LAUREL, MD 20707-4700
(301) 377-0750
(301) 377-0463
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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