Individual
MS. ELAINE MARGARET BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D. LC PC
Contact information
Practice address
3570 SAINT JOHNS LN STE 207, ELLICOTT CITY, MD 21042-4046
(410) 719-0086
(443) 251-2664
Mailing address
3570 SAINT JOHNS LN STE 207, ELLICOTT CITY, MD 21042-4046
(410) 719-0086
(443) 251-2664
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC1081
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
QR62SU
CAREFIRST MD
MD
01
—
R0390002
CAREFIRST FEDERAL
MD
Enumeration date
10/28/2005
Last updated
03/09/2019
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