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Individual

ROSHUN J HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LCPC

Contact information

Practice address
2505 LORD BALTIMORE DR, SUITE A102, WINDSOR MILL, MD 21244-2673
(410) 903-3178
(866) 623-6129
Mailing address
2505 LORD BALTIMORE DR, SUITE A102, WINDSOR MILL, MD 21244-2673
(410) 903-3178
(866) 623-6129

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC3404
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
030347000
MD
Enumeration date
04/12/2010
Last updated
07/14/2015
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