Organization
CHRISTIAN COUNSELING CENTER OF ANNAPOLIS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SABRINA ANN MACKALL (ADMINISTRATIVE ASSISTANT)
(410) 266-8345
Entity
Organization
Contact information
Practice address
108 OLD SOLOMONS ISLAND RD, ANNAPOLIS, MD 21401-3845
(410) 266-8345
(410) 266-6278
Mailing address
108 OLD SOLOMONS ISLAND RD, ANNAPOLIS, MD 21401-3845
(410) 266-8345
(410) 266-6278
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
522901400
—
MD
01
—
S166
MEDICARE - UNSPECIFIED TYPE
MD
Enumeration date
11/09/2011
Last updated
11/09/2011
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