Calvin Kuang, NONE
Individual provider Active NPI Mental Health Counselor · Monkton, MD
NPI 1043976376 · NPPES record last updated Oct 17, 2024
Key facts
- NPI
- 1043976376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LGP15594 (MD)
- Practice address
- 14815 Manor Rd
Monkton, MD 21111-2400 - Phone
- (443) 323-1378
- NPI assigned
- Nov 10, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP15594 | MD | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Mental Health Counselor | 101YM0800X | LGP15594 | MD | Yes |
Addresses
Primary practice location
14815 Manor Rd
Monkton, MD 21111-2400
Mailing address
6873 Caravan CT
Columbia, MD 21044-4073
Phone (443) 518-9710
Other providers in Monkton, MD
- Scott S Haswell
- Cristin Crooks Hatfield
- Healing Self Counseling Services, LLC
- Sabah Khalid
- Sophie Elyse Koch
- Craig Longenecker
- Kaitlyn Maynard
- Si Meng
- Michael a Sless, O.D. P.a.
- Mary Catherine Norman
All providers in Monkton, MD · Mental Health Counselor in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.