Organization
CARROLL COUNSELING CENTER, LLC
Active
Organization
CARROLL COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISABETH PESCE (SECRETARY)
(904) 605-4986
Entity
Organization
Contact information
Practice address
1380 PROGRESS WAY, SUITE 101, ELDERSBURG, MD 21784-6464
(410) 549-5181
(410) 549-5182
Mailing address
1380 PROGRESS WAY, SUITE 101, ELDERSBURG, MD 21784-6464
(410) 549-5181
(410) 549-5182
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
836102900
—
MD
Enumeration date
09/24/2008
Last updated
12/22/2022
Update your record
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