Michael Cardaci, Lcpc, LLC

NPI #1730863622 in Gambrills, Maryland

Provider Information

NPI Number: 1730863622
Entity Type: Organization
Organization Name: Michael Cardaci, Lcpc, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jun 12, 2023
Last Updated: Jul 14, 2023

Practice Location

Address: 2616 CHAPEL LAKE DR STE B
City: Gambrills
State: Maryland
ZIP Code: 21054-1637
Phone: (410) 714-1720

Authorized Official

Name: MR. MICHAEL D CARDACI, LCPC
Title: RESIDENT AGENT/OWNER
Phone: (410) 714-1720

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Counselor - Mental Health — Mental Health	101YM0800X
Psychologist	103T00000X
Social Worker	104100000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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