| Roshun J Harris Lcpc & Associates Llc | |
|
17 Warren Rd Suite 25a Pikesville MD 21208-5334 | |
| (410) 903-3178 | |
| (410) 510-1001 |
| Full Name | Roshun J Harris Lcpc & Associates Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 17 Warren Rd, Pikesville, Maryland |
| Authorized Official Name and Position | Roshun J Harris (OWNER/ PROVIDER) |
| Authorized Official Contact | 4109033178 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roshun J Harris Lcpc & Associates Llc 2505 Lord Baltimore Dr A-102 Windsor Mill MD 21244-2673 Ph: (410) 903-3178 | Roshun J Harris Lcpc & Associates Llc 17 Warren Rd Suite 25a Pikesville MD 21208-5334 Ph: (410) 903-3178 |
| NPI Number | 1578995593 |
|---|---|
| Provider Enumeration Date | 08/01/2013 |
| Last Update Date | 08/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578995593 | NPI | - | NPPES |
| X9940001 | Other | MD | CAREFIRST BCBS |
| 3217788 | Other | MD | CIGNA |
| 030347000 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC3404 (Maryland) | Primary |
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