Individual provider · Type 1 NPI

Mark E. Modoski, LCSW-C

Mental Health Counselor · Cambridge, MD

NPI number 1376126763 Active

Practice location

2700 Willow Oak Dr Apt 112
Cambridge, MD 21613-3539

Call (443) 521-9525 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X37LC00298800 (NJ)
Mental Health Counselor Primary 101YM0800X27003 (MD)

Mental Health Counselor: Definition to come...

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About NPI 1376126763

Mark E. Modoski, LCSW-C's National Provider Identifier is 1376126763, issued on May 3, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cambridge, MD. The record was last updated on May 3, 2021.