Provider Demographics
NPI:1922367879
Name:ROLKER, MARCI ANN (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:MARCI
Middle Name:ANN
Last Name:ROLKER
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 1:101 W RIDGELY RD
Mailing Address - Street 2:SUITE 8A
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-5101
Mailing Address - Country:US
Mailing Address - Phone:410-252-7800
Mailing Address - Fax:
Practice Address - Street 1:101 W RIDGELY RD
Practice Address - Street 2:SUITE 8A
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-5101
Practice Address - Country:US
Practice Address - Phone:410-252-7800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-14
Last Update Date:2014-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1608LC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health