Organization
GARDENWOOD COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA WATSON-CLARK LCSW-C (OWNER/THERAPIST)
(410) 645-0677
Entity
Organization
Contact information
Practice address
704 GREENWOOD RD, PIKESVILLE, MD 21208-4704
(410) 645-0677
Mailing address
704 GREENWOOD RD, PIKESVILLE, MD 21208-4704
(410) 645-0677
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/29/2018
Last updated
10/10/2018
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