Organization
BASICS GROUP PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL FEREBEE LCSW-C (CEO)
(301) 420-1972
Entity
Organization
Contact information
Practice address
7610 PENNSYLVANIA AVE, SUITE 103, DISTRICT HEIGHTS, MD 20747-4701
(301) 420-1972
(301) 420-1973
Mailing address
7610 PENNSYLVANIA AVE, SUITE 103, DISTRICT HEIGHTS, MD 20747-4701
(301) 420-1972
(301) 420-1973
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC3868
MD
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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