Organization Name: | MEDICAL ILLNESS COUNSELING CENTER |
NPI Number: | 1578722831 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHEN PETER HERSH (MEDICAL DIRECTOR) |
Mailing Address: | 2 Wisconsin Cir Suite 650 Chevy Chase |
State: | MD US |
Postal Code: | 208157003 |
Phone Number: | 3016543638 |
Fax Number: | 3016529051 |
NPI Enumeration Date: | 06/03/2008 |
NPI Last Update Date: | 01/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | D0015224 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |