| Organization Name: | WELLNESS IN CHRIST COUNSELING AND FORMATION CENTER, LLC |
| NPI Number: | 1083813927 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPHINE C CARANDANG-GARCIA (CHRISTIAN COUNSELOR) |
| Mailing Address: | 8288 Telegraph Rd Suite A Odenton |
| State: | MD US |
| Postal Code: | 211131130 |
| Phone Number: | 4435384114 |
| Fax Number: | |
| NPI Enumeration Date: | 07/12/2007 |
| NPI Last Update Date: | 10/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 11293 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |