Individual
MRS. STEPHANIE RANDOLPH NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCPC, LCADC
Contact information
Practice address
975 SOLOMONS ISLAND RD N, SUITE 119, PRINCE FREDERICK, MD 20678-3917
(410) 535-5400
(410) 535-2220
Mailing address
PO BOX 980, PRINCE FREDERICK, MD 20678-0980
(410) 535-3079
(410) 535-2220
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCA2236
MD
101YM0800X
Mental Health Counselor
Primary
LC6333
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3322998 00
—
MD
Enumeration date
07/19/2010
Last updated
08/25/2016
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