Healthcare Provider Details

I. General information

NPI: 1891818639
Provider Name (Legal Business Name): CAROLYN JUNE FIGARD NCC, LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

933 RUSSESS AVE. SUITE D
GAITHERSBURG MD
20879
US

IV. Provider business mailing address

401 CHRISTOPHER AVE APT. # T-2
GAITHERSBURG MD
20879-3544
US

V. Phone/Fax

Practice location:
  • Phone: 301-977-0993
  • Fax:
Mailing address:
  • Phone: 301-977-0993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC 1589
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: