Lance Alan David, LCPC

Individual provider Active NPI Professional Counselor · Arnold, MD

NPI 1881757045 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1881757045
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
LC1883 (MD)
Practice address
277 Peninsula Farm Road
Ste I Bayshore Counseling & Psychological Services LLC
Arnold, MD 21012
Phone
(410) 315-8253
Fax
(410) 315-8256
NPI assigned
Dec 19, 2006
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
LC1883MDMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC1883 MD Yes

Addresses

Primary practice location

277 Peninsula Farm Road
Ste I Bayshore Counseling & Psychological Services LLC
Arnold, MD 21012

Mailing address

277 Peninsula Farm Road
Ste I
Arnold, MD 21012
Phone (410) 315-8253

Other identifiers

IdentifierTypeStateIssuer
64350201OtherBCBS OF MD

Other providers in Arnold, MD

All providers in Arnold, MD · Professional Counselor in Maryland

Sources for this page

Verify at the official NPI Registry.