Individual
ROXANNE LYNNE PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8894 STANFORD BLVD STE 103, COLUMBIA, MD 21045-5161
(646) 535-8260
Mailing address
8046 ROUND MOON CIR, JESSUP, MD 20794-9023
(443) 591-2430
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP16853
MD
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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