Organization
STILL WATERS THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANINE BRAHAM LCPC-S (OWNER/PROVIDER)
(917) 502-0330
Entity
Organization
Contact information
Practice address
316 REGIMENT CT, ODENTON, MD 21113-2620
(917) 502-0330
Mailing address
316 REGIMENT CT, ODENTON, MD 21113-2620
(917) 502-0330
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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