Provider Demographics
NPI:1659362945
Name:SCIUBBA, LOUANNA BERNADETTE (MS LCPC)
Entity Type:Individual
Prefix:MS
First Name:LOUANNA
Middle Name:BERNADETTE
Last Name:SCIUBBA
Suffix:
Gender:F
Credentials:MS LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3274
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-0274
Mailing Address - Country:US
Mailing Address - Phone:410-719-0086
Mailing Address - Fax:410-744-2321
Practice Address - Street 1:2 W ROLLING CROSSROADS
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-6208
Practice Address - Country:US
Practice Address - Phone:410-719-0086
Practice Address - Fax:410-744-2321
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC1963101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDR039OtherCAREFIRST FEDERAL
MDQR62SUOtherCAREFIRST