Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | LC2023 | MD |
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | SC1314 | MD |
N | 101YM0800X | Mental Health Counselor | LC2023 | MD |
N | 101YP1600X | Pastoral Counselor | ||
Y | 101YP2500X | Professional Counselor | LC2023 | MD |
NPI | 1215099395 |
---|---|
Provider Name | Ma. Anna Teresa Mapa |
First Address | Catonsville, MD 21228-1722 |
Second Address | Lansdowne, MD 21227-2210 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2006 |
Last Update Date | 16/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
292519 | (05) | MD |