Organization
SAFE HARBOR CHRISTIAN COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK SUNDQUIST LCSW-C (NATIONAL DIRECTOR)
(410) 893-4600
Entity
Organization
Contact information
Practice address
1100 E NORTHERN PKWY, BALTIMORE, MD 21239-1900
(410) 893-4600
(443) 640-4358
Mailing address
1208 E CHURCHVILLE RD, STE 300, BEL AIR, MD 21014-3442
(410) 893-4600
(443) 640-4358
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
345110
MEDICARE PTAN
MD
Enumeration date
10/01/2015
Last updated
10/01/2015
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