Provider Demographics
NPI:1710650635
Name:RALFS, ANNA KATHRYN NORDHOFF (LGPC)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:KATHRYN NORDHOFF
Last Name:RALFS
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 COURSEVALL DR
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21617-2804
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:202 COURSEVALL DR
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:MD
Practice Address - Zip Code:21617-2804
Practice Address - Country:US
Practice Address - Phone:443-582-9213
Practice Address - Fax:888-509-0010
Is Sole Proprietor?:No
Enumeration Date:2021-07-27
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP11643101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor