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NPI Code Detail

MEDICARE: MS. LAURA REBECCA BAER LCPC

MEDICARE:  MS. LAURA REBECCA BAER  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
1101YP2500XProfessional CounselorLC3088MD

General Provider Information

NPI Number : 1215166590
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAURA REBECCA BAER LCPC
Provider Business Mailing Address
First Line : 200 WOOD HILL RD
Second Line :
City : ROCKVILLE
State : MD
Zip : 20850-8724
Country : US
Telephone Number : 301-610-8306
Fax Number :
Provider Business Practice Location Address
First Line : 901 WASHINGTON AVE STE 100
Second Line :
City : PORTLAND
State : ME
Zip : 04103-2842
Country : US
Telephone Number : 207-871-1200
Fax Number : 207-871-1232
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2009
Last Update Date : 10/10/2018

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Directions to “ MS. LAURA REBECCA BAER LCPC” Practice Location

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