Most Relevant Information
Provider Data
| NPI Number: | 1003212846 |
| Provider Name: | ERSILIA BOSTIAN LCPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | LC4857 |
Most Important Dates
| Enumeration Date: | 11/05/2014 |
| Last Updated: | 11/05/2014 |
Provider Practice Location
50 W MONTGOMERY AVE
SUITE 320
ROCKVILLE
MD
208504216
Practice Location Phone/Fax
| Phone: | 3016783385 |
| Fax: |
Provider Mailing Location
50 W MONTGOMERY AVE
SUITE 320
ROCKVILLE
MD
208504216
Provider Mailing Phone/Fax
| Phone: | 3016783385 |
| Fax: |