| Gina M. Rassa, Lcpc, Inc. | |
|
3450 Ellicott Center Dr Ste 205 Ellicott City MD 21043-4667 | |
| (410) 970-6964 | |
| (410) 970-6157 |
| Full Name | Gina M. Rassa, Lcpc, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3450 Ellicott Center Dr Ste 205, Ellicott City, Maryland |
| Authorized Official Name and Position | Gina Marie Rassa (OWNER) |
| Authorized Official Contact | 4109355140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gina M. Rassa, Lcpc, Inc. 7533 Main St Ste 1f Sykesville MD 21784-5308 Ph: (410) 970-6964 | Gina M. Rassa, Lcpc, Inc. 3450 Ellicott Center Dr Ste 205 Ellicott City MD 21043-4667 Ph: (410) 970-6964 |
| NPI Number | 1215794003 |
|---|---|
| Provider Enumeration Date | 02/28/2024 |
| Last Update Date | 02/28/2024 |
| Certification Date | 02/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215794003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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