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NPI Code Detail

MEDICARE: SARAH GREEN LCPC

MEDICARE: SARAH GREEN LCPC
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
1101YM0800XMental Health CounselorLC9045MD

General Provider Information

NPI Number : 1255263075
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH GREEN LCPC
Provider Business Mailing Address
First Line : 55 WADE AVE
Second Line :
City : CATONSVILLE
State : MD
Zip : 21228-4663
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 55 WADE AVE
Second Line :
City : CATONSVILLE
State : MD
Zip : 21228-4663
Country : US
Telephone Number : 410-402-7941
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “ SARAH GREEN LCPC” Practice Location

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