MEDICARE: KIARA HOPSON

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	LGP17487	MD

General Provider Information

NPI Number	:	1134076979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIARA HOPSON

Provider Business Mailing Address
First Line	:	2917 CHESLEY AVE APT 3
Second Line	:
City	:	PARKVILLE
State	:	MD
Zip	:	21234-7652
Country	:	US
Telephone Number	:	443-336-8545
Fax Number	:

Provider Business Practice Location Address
First Line	:	512 FOUNTAIN DR
Second Line	:
City	:	LINTHICUM HEIGHTS
State	:	MD
Zip	:	21090-2020
Country	:	US
Telephone Number	:	443-837-5119
Fax Number	:

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

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

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Directions to “ KIARA HOPSON ” Practice Location

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