Organization
ROSHUN J HARRIS LCPC & ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSHUN J HARRIS LCPC NCC (OWNER/ PROVIDER)
(410) 903-3178
Entity
Organization
Contact information
Practice address
17 WARREN RD, SUITE 25A, PIKESVILLE, MD 21208-5334
(410) 903-3178
(410) 510-1001
Mailing address
2505 LORD BALTIMORE DR, A-102, WINDSOR MILL, MD 21244-2673
(410) 903-3178
(410) 510-1001
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC3404
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030347000
—
MD
01
—
3217788
CIGNA
MD
01
—
X9940001
CAREFIRST BCBS
MD
Enumeration date
08/01/2013
Last updated
08/01/2013
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