Individual
ELIZABETH BLUMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5457 TWIN KNOLLS RD, SUITE 310, COLUMBIA, MD 21045-3259
(410) 997-0304
(410) 997-1397
Mailing address
8404 COTONEASTER DR, #4A, ELLICOTT CITY, MD 21043-7256
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1265
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
257244
COMPSYCH
MD
01
—
646705-01
BC/BS
MD
01
—
PK1000091226
APS
MD
Enumeration date
10/03/2006
Last updated
07/08/2007
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