Provider Demographics
NPI:1487035226
Name:PIERCE, RALIN (LCPC)
Entity Type:Individual
Prefix:
First Name:RALIN
Middle Name:
Last Name:PIERCE
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12503 WILLOWBROOK RD
Mailing Address - Street 2:P.O. BOX 1745
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-2554
Mailing Address - Country:US
Mailing Address - Phone:301-759-5280
Mailing Address - Fax:301-777-5630
Practice Address - Street 1:12503 WILLOWBROOK RD
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-2554
Practice Address - Country:US
Practice Address - Phone:301-759-5280
Practice Address - Fax:301-777-5630
Is Sole Proprietor?:No
Enumeration Date:2015-06-17
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC7757101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional