Provider Demographics
NPI:1659634913
Name:CUTBILL, LAURA (MS LCPC, LCADC)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:
Last Name:CUTBILL
Suffix:
Gender:F
Credentials:MS LCPC, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2298 FAIRMOUNT RD
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:MD
Mailing Address - Zip Code:21074-1308
Mailing Address - Country:US
Mailing Address - Phone:410-374-2657
Mailing Address - Fax:
Practice Address - Street 1:2298 FAIRMOUNT RD
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:MD
Practice Address - Zip Code:21074-1308
Practice Address - Country:US
Practice Address - Phone:410-374-2657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCA1576101YA0400X
MDLC2963101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)