person
Mark E Modoski, LCSW-C
Mental Health Counselor in Cambridge, Maryland
NPI 1376126763

Mark E Modoski is a Mental Health Counselor based in Cambridge, MD and is specialized in Mental Health. Mark E Modoski practices in Cambridge, MD and has the professional credentials of LCSW-C. The NPI Number for Mark E Modoski is 1376126763 and holds a License No. 37LC00298800 (Maryland).

The current practice location address for Mark E Modoski is 2700 Willow Oak Dr Apt 112, Cambridge, MD and can be reached out via phone at 443-521-9525.

Location: 2700 Willow Oak Dr Apt 112, Cambridge, MD, 21613-3539
person
Provider Profile Details
NPI Number
1376126763
Provider Name
Mark E Modoski
Credential
LCSW-C
Provider Entity Type
Individual
Gender
Male
Address
2700 Willow Oak Dr Apt 112, Cambridge, MD, 21613-3539
Phone Number
443-521-9525
Fax Number
Provider Enumeration Date
05/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2700 Willow Oak Dr Apt 112
City
State
Zip
21613-3539
Phone Number
443-521-9525
Fax Number
person
Provider Business Mailing Address Details
Address
2700 Willow Oak Dr Apt 112
City
State
Zip
21613-3539
Phone Number
443-521-9525
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
27003 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
37LC00298800 (New Jersey)
Definition
Definition to come...
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