Organization
CIVETS SERVICES
Active
Other names
CiVets Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELMA ALSTON LCSW (VICE PRESIDENT & GEN PTR)
(301) 317-4444
Entity
Organization
Contact information
Practice address
12 N 2ND ST, LAUREL, MD 20723-1866
(301) 317-4444
Mailing address
PO BOX 657, LAUREL, MD 20725-0657
(301) 317-4444
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
09792
MD
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
09792
MD
104100000X
Social Worker
09792
MD
1041C0700X
Clinical Social Worker
09792
MD
1041S0200X
School Social Worker
09792
MD
106H00000X
Marriage & Family Therapist
09792
MD
Other
Enumeration date
01/29/2010
Last updated
01/29/2010
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