Provider Demographics
NPI:1326377094
Name:LOSADA RADLEY, ROSANA SILVIA (MA LCPC)
Entity Type:Individual
Prefix:MS
First Name:ROSANA
Middle Name:SILVIA
Last Name:LOSADA RADLEY
Suffix:
Gender:F
Credentials:MA LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4401 E WEST HWY STE 307
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-4526
Mailing Address - Country:US
Mailing Address - Phone:301-320-7369
Mailing Address - Fax:866-923-9962
Practice Address - Street 1:4401 E WEST HWY STE 307
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4526
Practice Address - Country:US
Practice Address - Phone:301-320-7369
Practice Address - Fax:866-923-9962
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-09
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC1171101YM0800X
DCPRC13670101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health