Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | ||
Y | 101YP2500X | Professional Counselor | LCO344 | MD |
NPI | 1255539219 |
---|---|
Provider Name | Dr. Anne Ross Stewart |
First Address | Edgewater, MD 21037-1005 |
Second Address | Edgewater, MD 21037-1005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2007 |
Last Update Date | 11/03/2014 |