Organization
FOUNDATION PSYCHOTHERAPY AND COUNSELING, LLC
Active
Organization
FOUNDATION PSYCHOTHERAPY AND COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH ANNE IRVIN LCSW-C (PRESIDENT, CLINICAL DIRECTOR)
(301) 254-3972
Entity
Organization
Contact information
Practice address
2919 OLNEY SANDY SPRING RD STE A, OLNEY, MD 20832-1587
(301) 254-3972
Mailing address
6123 WHITE MARBLE CT, CLARKSVILLE, MD 21029-1658
(301) 254-3972
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12403
MD
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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