Mark E Modoski, LCSW-C
Mark E Modoski, LCSW-C is an Addiction (Substance Use Disorder) Counselor in Cambridge, Maryland. Licensed in Maryland and New Jersey. Registered with an NPI since 2021.
- Licensed in
- MD, NJ
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
2700 Willow Oak Dr Apt 112Cambridge, MD 21613-3539
Phone: (443) 521-9525
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 27003 (MD) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 37LC00298800 (NJ) |
Record details
| NPI number | 1376126763 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LCSW-C |
| Sole proprietor | No |
| NPI enumerated | May 3, 2021 |
| Last updated in NPPES | May 3, 2021 |
| Certification date | May 3, 2021 |
| Mailing address | 2700 Willow Oak Dr Apt 112, Cambridge, MD 21613-3539 |
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