Individual
FARAH MARIA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1055 TAYLOR AVE, SUITE 205, TOWSON, MD 21286-8317
(410) 296-2004
(410) 296-0094
Mailing address
1055 TAYLOR AVE, TOWSON, MD 21286-8317
(410) 296-2004
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC4226
MD
101YS0200X
School Counselor
13-9188
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LC4226
BOARD OF PROFESSIONAL COUNSELORS & THERAPIST
MD
Enumeration date
09/27/2012
Last updated
07/12/2013
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