Organization
BASICS COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL NEGUSSIE FEREBEE LCSW-C (OWNER/THERAPIST)
(443) 254-0966
Entity
Organization
Contact information
Practice address
7610 PENNSYLVANIA AVE, SUITE 103, FORESTVILLE, MD 20747-4701
(443) 254-0966
(301) 568-4806
Mailing address
5532 AUTH WAY, SUITLAND, MD 20746-4268
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15032
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033341094
—
MD
Enumeration date
10/15/2009
Last updated
10/15/2009
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