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Organization

COVENANT COUNSELING MINISTRIES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHERRELL FAITH CAMPBELL MS, CRNP, PMH-F (DIRECTOR)
(301) 777-0633
Entity
Organization

Contact information

Practice address
907 SETON DR, CUMBERLAND, MD 21502-1817
(301) 777-0633
(240) 362-7110
Mailing address
907 SETON DR, CUMBERLAND, MD 21502-1817
(301) 777-0633
(240) 362-7110

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LC2243
MD
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
R063139
MD
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
R067998
MD
251S00000X
Community/Behavioral Health Agency
R067998
MD

Other

Enumeration date
09/21/2006
Last updated
09/04/2012
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