Healthcare Provider Details

I. General information

NPI: 1609072784
Provider Name (Legal Business Name): ERICA RAQUEL COHEN MA, LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERICA RAQUEL STEINHORN MA, LCPC

II. Dates (important events)

Enumeration Date: 06/25/2007
Last Update Date: 09/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10400 RIDGELAND ROAD STE 1
COCKEYSVILLE MD
21030
US

IV. Provider business mailing address

10400 RIDGELAND ROAD STE 1
COCKEYSVILLE MD
21030
US

V. Phone/Fax

Practice location:
  • Phone: 410-628-6120
  • Fax: 410-628-9825
Mailing address:
  • Phone: 410-628-6120
  • Fax: 410-628-9825

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: