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Organization

SHORE COUNSELING, LLC

Active
Other names
Shore Counseling, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KATHLEEN TRAVERSARI LCSW-C (DIRECTOR)
(410) 622-3202
Entity
Organization

Contact information

Practice address
100 HELFEN BEIN LN STE 230A, CHESTER, MD 21619-2667
(410) 622-3202
Mailing address
100 HELFEN BEIN LN STE 230A, CHESTER, MD 21619-2667
(410) 622-3202

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
986689
MD
Enumeration date
07/11/2019
Last updated
07/11/2019
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