Provider Demographics
NPI:1114639739
Name:OCHU, AUSTIN CHARLES (LCPC)
Entity Type:Individual
Prefix:DR
First Name:AUSTIN
Middle Name:CHARLES
Last Name:OCHU
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1821 MORNING BROOK DR
Mailing Address - Street 2:
Mailing Address - City:FOREST HILL
Mailing Address - State:MD
Mailing Address - Zip Code:21050-2629
Mailing Address - Country:US
Mailing Address - Phone:410-935-2572
Mailing Address - Fax:410-275-0983
Practice Address - Street 1:3623 FALLS RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21211-1815
Practice Address - Country:US
Practice Address - Phone:141-093-5257
Practice Address - Fax:410-275-0983
Is Sole Proprietor?:No
Enumeration Date:2022-12-14
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC9403101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional