Healthcare Provider Details

I. General information

NPI: 1699175414
Provider Name (Legal Business Name): REBECCA BOWNE HAMMOND LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: REBECCA BOWNE HAMMOND

II. Dates (important events)

Enumeration Date: 08/28/2014
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3404 INVERNESS DR
CHEVY CHASE MD
20815-5623
US

IV. Provider business mailing address

3404 INVERNESS DR
CHEVY CHASE MD
20815-5623
US

V. Phone/Fax

Practice location:
  • Phone: 240-604-4519
  • Fax:
Mailing address:
  • Phone: 240-604-4519
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC5633
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: