Provider Demographics
NPI:1922236686
Name:DOTSON, ANNA J (LCPC)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:J
Last Name:DOTSON
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 1:1513 RAWLINGS WELL RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-1051
Mailing Address - Country:US
Mailing Address - Phone:410-455-0225
Mailing Address - Fax:
Practice Address - Street 1:1513 RAWLINGS WELL RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21228-1051
Practice Address - Country:US
Practice Address - Phone:410-455-0225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-01
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC0348101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional