MEDICARE: DARREN L. FRISINGER LCPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LC1523	MD

General Provider Information

NPI Number	:	1114251808
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARREN L. FRISINGER LCPC

Provider Business Mailing Address
First Line	:	6501 N CHARLES ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21204-6819
Country	:	US
Telephone Number	:	410-938-3464
Fax Number	:	410-938-3410

Provider Business Practice Location Address
First Line	:	9030 ROUTE 108
Second Line	:	OAKLAND CENTER, SUITE A
City	:	COLUMBIA
State	:	MD
Zip	:	21045-1990
Country	:	US
Telephone Number	:	410-740-1901
Fax Number	:	410-740-8237

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2009
Last Update Date	:	09/28/2009

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