MEDICARE: KATRIN INCI KUTLUCINAR MA, 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	LGP12613	MD

General Provider Information

NPI Number	:	1437851169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATRIN INCI KUTLUCINAR MA, LCPC

Provider Business Mailing Address
First Line	:	4108 WEXFORD DR
Second Line	:
City	:	KENSINGTON
State	:	MD
Zip	:	20895-1525
Country	:	US
Telephone Number	:	202-381-6272
Fax Number	:

Provider Business Practice Location Address
First Line	:	4108 WEXFORD DR
Second Line	:
City	:	KENSINGTON
State	:	MD
Zip	:	20895-1525
Country	:	US
Telephone Number	:	202-381-6272
Fax Number	:

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

Provider Enumeration Date	:	03/20/2023
Last Update Date	:	12/15/2025

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