Organization
FRESH START COUNSELING LLC
Active
Other names
Fresh Start Counseling LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO ALDEN BROUSSARD II LCSW-C (OWNER)
(443) 788-2874
Entity
Organization
Contact information
Practice address
11201 POPLAR GROVE CT, LAUREL, MD 20708-3536
(443) 788-2874
Mailing address
11201 POPLAR GROVE CT, LAUREL, MD 20708-3536
(443) 788-2874
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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