Organization
THERAPEUTIC INTERVENTION PROGRAMS & SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACONYA REED LCPC,LPC, MAC CAC-AD (CEO)
(301) 785-2553
Entity
Organization
Contact information
Practice address
9701APOLLO DRIVE SUITE 301, STE 330, UPPER MARLBORO, MD 20774
(301) 785-2553
Mailing address
PO BOX 402, UPPER MARLBORO, MD 20773
(301) 785-2553
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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