Provider Demographics
NPI:1437851169
Name:KUTLUCINAR, KATRIN INCI (LGPC)
Entity Type:Individual
Prefix:
First Name:KATRIN
Middle Name:INCI
Last Name:KUTLUCINAR
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11103 BRANDYWINE ST
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-1502
Mailing Address - Country:US
Mailing Address - Phone:202-381-6272
Mailing Address - Fax:
Practice Address - Street 1:11103 BRANDYWINE ST
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-1502
Practice Address - Country:US
Practice Address - Phone:202-381-6272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP12613101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health