Provider Demographics
NPI:1346420163
Name:DURRANI, MONICA S (LCPC, RPT)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:S
Last Name:DURRANI
Suffix:
Gender:F
Credentials:LCPC, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2250 BEAR DEN RD
Mailing Address - Street 2:#312
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-9377
Mailing Address - Country:US
Mailing Address - Phone:301-662-7320
Mailing Address - Fax:
Practice Address - Street 1:2250 BEAR DEN RD
Practice Address - Street 2:#312
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-9377
Practice Address - Country:US
Practice Address - Phone:301-662-7320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-08
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC0955101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional