Provider Demographics
NPI:1568568160
Name:DEEL, CAROL A (MS, LCPC, LCMFT)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:A
Last Name:DEEL
Suffix:
Gender:F
Credentials:MS, LCPC, LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 S MAIN ST
Mailing Address - Street 2:SUITE 307
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-3840
Mailing Address - Country:US
Mailing Address - Phone:410-879-2470
Mailing Address - Fax:
Practice Address - Street 1:101 S MAIN ST
Practice Address - Street 2:SUITE 307
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-3840
Practice Address - Country:US
Practice Address - Phone:410-879-2470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC0045101YP2500X
MDLCM012106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist