Provider Demographics
NPI:1609072784
Name:COHEN, ERICA RAQUEL (MA, LCPC)
Entity Type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:RAQUEL
Last Name:COHEN
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:MISS
Other - First Name:ERICA
Other - Middle Name:RAQUEL
Other - Last Name:STEINHORN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LCPC
Mailing Address - Street 1:10400 RIDGELAND ROAD
Mailing Address - Street 2:STE 1
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030
Mailing Address - Country:US
Mailing Address - Phone:410-628-6120
Mailing Address - Fax:410-628-9825
Practice Address - Street 1:10400 RIDGELAND ROAD
Practice Address - Street 2:STE 1
Practice Address - City:COCKEYSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21030
Practice Address - Country:US
Practice Address - Phone:410-628-6120
Practice Address - Fax:410-628-9825
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor