Provider Demographics
NPI:1164944575
Name:FINK, LAWRENCE (LCPC)
Entity Type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:
Last Name:FINK
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 1:3525 DARTMOOR LN
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-1369
Mailing Address - Country:US
Mailing Address - Phone:240-389-5482
Mailing Address - Fax:301-468-1862
Practice Address - Street 1:18318 GEORGIA AVE
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-1436
Practice Address - Country:US
Practice Address - Phone:240-507-3748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-07
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTPMC1042101YM0800X, 101YP2500X
MDLC8947101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional