| Organization Name: | CORE COUNSELING SERVICES CO |
| NPI Number: | 1164895546 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARQUERITE LABAN (LICENSED PSYCHOLOGIST) |
| Mailing Address: | 9475 Deereco Rd Timonium |
| State: | MD US |
| Postal Code: | 210932118 |
| Phone Number: | 4105606135 |
| Fax Number: | 4105606136 |
| NPI Enumeration Date: | 11/05/2015 |
| NPI Last Update Date: | 11/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 05240 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |