Chesapeake South Therapeutic Group LLC
NPI #1992165641 in California, Maryland
Provider Information
- NPI Number
- 1992165641
- Entity Type
- Organization
- Organization Name
- Chesapeake South Therapeutic Group LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Feb 23, 2016
- Last Updated
- Feb 23, 2016
Practice Location
- Address
- 23127 THREE NOTCH RD
- Address 2
- SUITE 101
- City
- California
- State
- Maryland
- ZIP Code
- 20619-2402
- Phone
- (301) 752-2615
Authorized Official
- Name
- JESSICA Z BOWLING, LCPC
- Title
- THERAPIST/ AUTHORIZED MEMBER
- Phone
- (301) 752-2615
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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