Organization
CHESAPEAKE SOUTH THERAPEUTIC GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA Z BOWLING LCPC (THERAPIST/ AUTHORIZED MEMBER)
(301) 752-2615
Entity
Organization
Contact information
Practice address
23127 THREE NOTCH RD, SUITE 101, CALIFORNIA, MD 20619-2402
(301) 752-2615
Mailing address
23127 THREE NOTCH RD, SUITE 101, CALIFORNIA, MD 20619-2402
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LC3556
MD
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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