Patricia L Cunningham, LCPC

Individual provider Active NPI Professional Counselor · Baltimore, MD

NPI 1780910372 · NPPES record last updated Nov 2, 2009

Key facts

NPI
1780910372
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
LC3166 (MD)
Practice address
3902 Annapolis Rd
Baltimore, MD 21227-2249
Phone
(410) 789-2647
NPI assigned
Nov 2, 2009
Sex
Female
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

LicenseStateTypeSpecialty
LC3166MDMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC3166 MD Yes

Addresses

Primary practice location

3902 Annapolis Rd
Baltimore, MD 21227-2249

Mailing address

3902 Annapolis Rd
Baltimore, MD 21227-2249

Other providers in Baltimore, MD

All providers in Baltimore, MD · Professional Counselor in Maryland

Sources for this page

Verify at the official NPI Registry.