NPI Code Details Logo

NPI 1801008479

NPI 1801008479 : CEDRIC RASHAW LCPC : ROCKVILLE, MD

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1801008479
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    CEDRIC RASHAW LCPC
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/04/2007
-----------------------------------------------------
    Last Update Date     |    12/10/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    7955 TUCKERMAN LN 
-----------------------------------------------------
    City                 |    ROCKVILLE
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    20854-3243
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    301-299-3717
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 682 
-----------------------------------------------------
    City                 |    PRINCESS ANNE
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    21853-0682
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    202-365-8336
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YP2500X
-----------------------------------------------------
    Taxonomy Name        |    Professional Counselor
-----------------------------------------------------
    License Number       |    CC03508
-----------------------------------------------------
    License Number State |    MN
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    101YP2500X
-----------------------------------------------------
    Taxonomy Name        |    Professional Counselor
-----------------------------------------------------
    License Number       |    5886
-----------------------------------------------------
    License Number State |    CT
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    101YP2500X
-----------------------------------------------------
    Taxonomy Name        |    Professional Counselor
-----------------------------------------------------
    License Number       |    LC5837
-----------------------------------------------------
    License Number State |    MD
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.