Organization · Type 2 NPI
Tides of Change Therapeutic Services, LLC
Professional Counselor · Leonardtown, MD
NPI number
1306546320
Active
Practice location
41660 Courthouse Dr
Leonardtown, MD 20650-3887
Fax (240) 526-2347
Mailing address
PO Box 139
Leonardtown, MD 20650-0139
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
Another provider at this address
Other professional counselor providers in Leonardtown
About NPI 1306546320
Tides of Change Therapeutic Services, LLC's National Provider Identifier is 1306546320, issued on Mar 8, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Leonardtown, MD. The record was last updated on Mar 8, 2023.