Organization
MENTAL HEALTH ASSOCIATION OF FREDERICK COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVA MARIE COSTLOW LCSW-C (CLINICAL SUPERVISOR)
(301) 663-6135
Entity
Organization
Contact information
Practice address
226 S JEFFERSON ST, FREDERICK, MD 21701-6205
(301) 663-0011
Mailing address
226 S JEFFERSON ST, FREDERICK, MD 21701-6205
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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