Healthcare Provider Details

I. General information

NPI: 1063193449
Provider Name (Legal Business Name): AVRAHAM PEAR LCPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: AVI PEAR LCPC

II. Dates (important events)

Enumeration Date: 07/27/2023
Last Update Date: 03/22/2026
Certification Date: 03/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8501 LASALLE RD SUITE 115
TOWSON MD
21286-5919
US

IV. Provider business mailing address

8501 LA SALLE RD STE 115
TOWSON MD
21286-5919
US

V. Phone/Fax

Practice location:
  • Phone: 410-337-7772
  • Fax:
Mailing address:
  • Phone: 420-337-7772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLC17590
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: