Individual
YULIYA T RUSABROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1931 GREENSPRING DR, TIMONIUM, MD 21093-4113
(410) 453-9553
(410) 453-9552
Mailing address
12341 BONCREST DR, REISTERSTOWN, MD 21136-1707
(410) 453-9553
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC2219
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LC2219
STATE LICENSE
MD
Enumeration date
05/21/2009
Last updated
05/21/2009
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