Organization
DESIGNED 4 PURPOSE COUNSELING & THERAPEUTIC SERVICES, LLC
Active
Organization
DESIGNED 4 PURPOSE COUNSELING & THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ICIA S RAGSDALE LCSW-C (OWNER)
(443) 744-2777
Entity
Organization
Contact information
Practice address
5411 OLD FREDERICK RD STE 13, BALTIMORE, MD 21229-2126
(443) 744-2777
Mailing address
5411 OLD FREDERICK RD STE 13, BALTIMORE, MD 21229-2126
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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