Krist, Mark J

Krist, Mark J is an individual health care provider with primary practice located at Usameddac 2480 Llewellyn Ave, Fort George G Meade MD 20755. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Krist, Mark J can be contacted via phone (301) 677-8136.

Contact Information

Primary practice address
Usameddac 2480 Llewellyn Ave Fort George G Meade MD 20755
Phone: (301) 677-8136
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801085533 Michigan
Behavioral Health & Social Service Providers / Clinical 1041C0700X C-09359 New Mexico
Behavioral Health & Social Service Providers / Clinical 1041C0700X 31210 Maryland

Profile Details

NPI number 1508884370
LBN Legal business name Krist, Mark J
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Oct 22nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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