Organization · Type 2 NPI
Premiere Therapeutic Services, LLC
Professional Counselor · Baltimore, MD
NPI number
1740587179
Active
Practice location
5516 Todd Ave
Baltimore, MD 21206-3721
Mailing address
2125 Maryland Ave, 106
Baltimore, MD 21218-5634
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LC2117 (MD) |
Professional Counselor: Definition to come...
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About NPI 1740587179
Premiere Therapeutic Services, LLC's National Provider Identifier is 1740587179, issued on Feb 21, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Baltimore, MD. The record was last updated on Apr 9, 2012.