MEDICARE: ROSALIND CHRISTINE CEASAR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1114551215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSALIND CHRISTINE CEASAR

Provider Business Mailing Address
First Line	:	422 MONTGOMERY ST
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20707-4202
Country	:	US
Telephone Number	:	240-294-1304
Fax Number	:	301-617-2869

Provider Business Practice Location Address
First Line	:	422 MONTGOMERY ST
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20707-4202
Country	:	US
Telephone Number	:	240-294-1304
Fax Number	:	301-617-2869

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2020
Last Update Date	:	02/27/2020

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Directions to “ ROSALIND CHRISTINE CEASAR ” Practice Location

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