Provider Demographics
NPI:1043491962
Name:MORRISON, KERRY (LCPC)
Entity Type:Individual
Prefix:
First Name:KERRY
Middle Name:
Last Name:MORRISON
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5119 CLIFFORD RD
Mailing Address - Street 2:
Mailing Address - City:PERRY HALL
Mailing Address - State:MD
Mailing Address - Zip Code:21128-9118
Mailing Address - Country:US
Mailing Address - Phone:443-695-6091
Mailing Address - Fax:
Practice Address - Street 1:25 W CHESAPEAKE AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-4820
Practice Address - Country:US
Practice Address - Phone:443-695-6091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-19
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC1755101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional