MEDICARE: MS. LUCY CATHERINE ALLAN LGPC

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	101Y00000X	Counselor	LGP15148	MD

General Provider Information

NPI Number	:	1598588121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LUCY CATHERINE ALLAN LGPC

Provider Business Mailing Address
First Line	:	2 E WELLS ST APT 151
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21230-4949
Country	:	US
Telephone Number	:	317-504-4718
Fax Number	:

Provider Business Practice Location Address
First Line	:	828 DULANEY VALLEY RD STE 11
Second Line	:
City	:	TOWSON
State	:	MD
Zip	:	21204-2822
Country	:	US
Telephone Number	:	410-870-0490
Fax Number	:	410-701-3777

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

Provider Enumeration Date	:	11/04/2024
Last Update Date	:	11/04/2024

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