Provider Demographics
NPI:1821398132
Name:STEVENS, NORMA (LCPC)
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:
Last Name:STEVENS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6011 UNIVERSITY BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-6108
Mailing Address - Country:US
Mailing Address - Phone:410-919-8275
Mailing Address - Fax:
Practice Address - Street 1:6011 UNIVERSITY BLVD STE 100
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043-6108
Practice Address - Country:US
Practice Address - Phone:410-919-8275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-02
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC4716101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional