Organization
CATALYST COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARDNER LEVERING MCCULLOUGH II LCSW-C (OWNER)
(443) 417-7463
Entity
Organization
Contact information
Practice address
8181 MAIN STREET, ELLICOTT CITY, MD 21043
(443) 574-4642
Mailing address
3301 RICHMOND HWY # 1192, ALEXANDRIA, VA 22305-3044
(443) 574-4642
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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