Provider Demographics
NPI:1891818639
Name:FIGARD, CAROLYN JUNE (NCC, LCPC)
Entity Type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:JUNE
Last Name:FIGARD
Suffix:
Gender:F
Credentials:NCC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 CHRISTOPHER AVE
Mailing Address - Street 2:APT. # T-2
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20879-3544
Mailing Address - Country:US
Mailing Address - Phone:301-977-0993
Mailing Address - Fax:
Practice Address - Street 1:933 RUSSESS AVE.
Practice Address - Street 2:SUITE D
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20879
Practice Address - Country:US
Practice Address - Phone:301-977-0993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC 1589101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDZZXQCJOtherBCBS INS. I.D.
MDLC 1589OtherPRACTICTIONERLICENSE I.D.