Doctor Name: | PHILIPPE CJ DENIS |
NPI Number: | 1295708261 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCPC |
License Number: | |
Business Practice Address: | 21770 Fdr Blvd Lexington Park, MD - 20653 |
Business Phone Number: | 3018624966 |
Business Fax Number: | 3018625554 |
Mailing Address: | Po Box 826, Trico Corporation LEXINGTON PARK |
State: | MD |
Postal Code: | 20653 |
Phone Number: | 3018624966 |
Fax Number: | 3018625554 |
NPI Enumeration Date: | 02/09/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |