Provider Demographics
NPI:1275195646
Name:WILLIAMS, ROLONDA KIERRA RENEE' (LGMFT)
Entity Type:Individual
Prefix:MISS
First Name:ROLONDA
Middle Name:KIERRA RENEE'
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LGMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:970 WINTER RUN RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-1854
Mailing Address - Country:US
Mailing Address - Phone:443-882-5251
Mailing Address - Fax:
Practice Address - Street 1:7625 MAPLE LAWN BLVD
Practice Address - Street 2:SUITE LL50
Practice Address - City:FULTON
Practice Address - State:MD
Practice Address - Zip Code:20759-2565
Practice Address - Country:US
Practice Address - Phone:301-490-1011
Practice Address - Fax:301-725-0572
Is Sole Proprietor?:No
Enumeration Date:2019-07-05
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGM690106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist