Organization
FOUNDATIONS COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH LYNN DEVINCENT LCPC (PSYCHOTHERAPIST)
(410) 995-8780
Entity
Organization
Contact information
Practice address
1425 LIBERTY RD STE 206, ELDERSBURG, MD 21784-6971
(410) 995-8780
(410) 995-8784
Mailing address
5614 COMPTON LN, ELDERSBURG, MD 21784-8868
(410) 995-8780
(410) 995-8784
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC6876
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
889341
—
MD
Enumeration date
12/13/2017
Last updated
12/13/2017
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