Individual
ROBERTA COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LCADC
Contact information
Practice address
705 CANNON RD, COLESVILLE, MD 20904-3323
(301) 613-8612
Mailing address
705 CANNON RD, COLESVILLE, MD 20904-3323
(301) 613-8612
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCA1709
MD
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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