Organization
FUNDAMENTAL SOLUTIONS PSYCHOTHERAPY. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CANDICE MITCHELL LGPC NCC (CLINCIAL PSYCHOTHERAPIST)
(410) 487-9477
Entity
Organization
Contact information
Practice address
11155 STRATFIELD CT, MARRIOTTSVILLE, MD 21104-1650
(410) 487-9477
Mailing address
11155 STRATFIELD CT, MARRIOTTSVILLE, MD 21104-1650
(410) 487-9477
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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