Most Relevant Information
Provider Data
| NPI Number: | 1003356619 |
| Provider Name: | CARRIE MEAD LCPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | LC7365 |
Most Important Dates
| Enumeration Date: | 03/01/2017 |
| Last Updated: | 03/01/2017 |
Provider Practice Location
802 TALL GRASS RD
WESTMINSTER
MD
211577771
Practice Location Phone/Fax
| Phone: | 4102599148 |
| Fax: |
Provider Mailing Location
802 TALL GRASS RD
WESTMINSTER
MD
211577771
Provider Mailing Phone/Fax
| Phone: | 4102599148 |
| Fax: |