| NPI | 1245701119 |
|---|---|
| Doing Business As | INTEGRATED COUNSELING PROFESSIONALS LLC |
| Entity Type | Organization |
| Authorized Contact | EARNEST RUSSELL REAVES Managing Member / Clinician 443-691-4982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |