Organization
MULTICULTURAL COUNSELING & CONSULTING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIE FONROSE PH.D. (OWNER/DIRECTOR)
(240) 533-5784
Entity
Organization
Contact information
Practice address
5010 SUNNYSIDE AVE STE 309, BELTSVILLE, MD 20705-2320
(301) 474-0060
(301) 474-0068
Mailing address
5010 SUNNYSIDE AVE STE 309, BELTSVILLE, MD 20705-2320
(301) 474-0060
(301) 474-0068
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC3487
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036798200
—
MD
Enumeration date
01/25/2012
Last updated
01/25/2012
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