Organization
PINE BLUFF COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURIE A ROCKELLI MS,APRN,BC (OWNER)
(410) 677-0466
Entity
Organization
Contact information
Practice address
1506 S SALISBURY BLVD, SUITE 6, SALISBURY, MD 21801-7198
(410) 677-0466
(410) 677-0422
Mailing address
1506 S SALISBURY BLVD, SUITE 6, SALISBURY, MD 21801-7198
(410) 677-0466
(410) 677-0422
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R093795
MD
Other
Enumeration date
11/18/2006
Last updated
08/22/2020
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