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Mental Health Counselor · Waldorf, MD

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At a glance

5604 Barnstormers Ln, Waldorf, MD 20602-3281

NPPES record updated Aug 25, 2025. Public records can lag behind changes at a practice.

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Practice location

5604 Barnstormers Ln
Waldorf, MD 20602-3281

Professional details: NPI, taxonomy & registry record

NPI1194603423

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Registry details

Primary taxonomy: Mental Health Counselor
Taxonomy code: 101YM0800X
Enumeration date: Aug 25, 2025
Record updated: Aug 25, 2025

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Mental Health Counselor

101YM0800X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

5604 Barnstormers Ln
Waldorf, MD 20602-3281

Phone: (301) 751-9072

Mailing address

5604 BARNSTORMERS LN

WALDORF, MD 206023281

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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