Organization
CHRISTIAN COUNSELING GROUP LLC
Active
Organization
CHRISTIAN COUNSELING GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE SMITH-TUCKER (MANAGER)
(240) 353-4078
Entity
Organization
Contact information
Practice address
9650 SANTIAGO RD., SUITE 102, COLUMBIA, MD 21045-3958
(410) 995-5587
(410) 992-1779
Mailing address
9650 SANTIAGO RD. SUITE 102, COLUMBIA, MD 21045-3958
(410) 995-5587
(410) 992-1779
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
03/01/2023
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