Marcella Louise Debose | Bowie, MD • PECOS Search

Marcella Louise Debose

Counselor

Behavioral Health & Social Service Providers

15957 Alameda Dr, Bowie, MD 20716-1384

PECOS Enrollment

Based on the most recent information from CMS, provider Marcella Louise Debose does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 8 days ago.

Profile Details

Provider ID
1679075576
Provider Type
Individual
Full Name
Debose, Marcella Louise
Title
Mrs.
Credential
LPC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/6/2018
Last Updated
3/6/2018

Contact Information

Practice Location

15957 Alameda Dr, Bowie, MD 20716-1384

Unlisted Fax

Mailing Location

15957 Alameda Dr, Bowie, MD 20716-1384

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 6401013715 Michigan