Organization · Type 2 NPI
The Eagles Nest Family and Children Services LLC
Professional Counselor · Bel Air, MD
NPI number
1629364666
Active
Practice location
900 A South Main Street, Suite 105
Bel Air, MD 21014
Fax (410) 914-4013
Mailing address
4006 Jeffery Court
Abingdon, MD 21009-3073
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LC3588 (MD) |
Professional Counselor: Definition to come...
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About NPI 1629364666
The Eagles Nest Family and Children Services LLC's National Provider Identifier is 1629364666, issued on Jun 28, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bel Air, MD. The record was last updated on Jun 28, 2011.