Individual
LARA AUSTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
10005 OLD COLUMBIA RD, SUITE L260, COLUMBIA, MD 21046-1702
(443) 259-0400
Mailing address
2015 HERITAGE DR, BALTIMORE, MD 21209-1736
(609) 941-8250
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC7035
MD
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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