| NPI | 1861617052 |
|---|---|
| Doing Business As | CRA COUNSELING & CONSULTING AGENCY |
| Entity Type | Organization |
| Authorized Contact | CANDICE RICHARDSON DICKENS Clinical Director 410-744-4204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC0686) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LCA214) |
| 101YM0800X Counselor, Mental Health (Licence: DC PRC13709) | |
| Enumeration Date | 2007-04-15 |
| Last Update Date | 2008-06-20 |