Organization
SW THERAPEUTIC SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON RENEE WILLIAMS PH.D., LCPC (PRESIDENT)
(301) 627-0568
Entity
Organization
Contact information
Practice address
17203 CLAIRFIELD LN, UPPER MARLBORO, MD 20772-3335
(301) 627-0568
(301) 780-5322
Mailing address
17203 CLAIRFIELD LN, UPPER MARLBORO, MD 20772-3335
(301) 627-0568
(301) 780-5332
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LC1245
MD
101YP2500X
Professional Counselor
Primary
LC1245
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013226800
—
MD
Enumeration date
01/22/2007
Last updated
06/24/2010
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