Healthcare Provider Details

I. General information

NPI: 1316351760
Provider Name (Legal Business Name): KARI PEREZ LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2014
Last Update Date: 09/06/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12606 W OAK DR
MOUNT AIRY MD
21771-4943
US

IV. Provider business mailing address

12606 W OAK DR
MOUNT AIRY MD
21771-4943
US

V. Phone/Fax

Practice location:
  • Phone: 240-405-0070
  • Fax:
Mailing address:
  • Phone: 240-405-0070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC5249
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: