Organization Name: | GINA M. RASSA, LCPC,INC. |
NPI Number: | 1326438623 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GINA MARIE RASSA (OWNER/PRESIDENT) |
Mailing Address: | 7533 Main St Suite 1f Sykesville |
State: | MD US |
Postal Code: | 217847374 |
Phone Number: | 4109706964 |
Fax Number: | 4109706157 |
NPI Enumeration Date: | 01/26/2015 |
NPI Last Update Date: | 01/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LC1765 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |