Davis Rice

Individual provider Active NPI Professional Counselor · Laplata, MD

NPI 1801080429 · NPPES record last updated Apr 11, 2019

Key facts

NPI
1801080429
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
4266 (MD)
Practice address
6100 Radio Station Road
Laplata, MD 20646
Phone
(301) 609-9887
Fax
(301) 609-7284
NPI assigned
Aug 28, 2007
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

LicenseStateTypeSpecialty
4266MDMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4266 MD Yes

Addresses

Primary practice location

6100 Radio Station Road
Laplata, MD 20646

Mailing address

PO Box 2924
La Plata, MD 20646-2984
Phone (301) 609-9887

Other providers in Laplata, MD

All providers in Laplata, MD · Professional Counselor in Maryland

Sources for this page

Verify at the official NPI Registry.