Provider Demographics
NPI:1922500156
Name:HUNSICKER, CAROLYN ANN (MS, LCPC)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:ANN
Last Name:HUNSICKER
Suffix:
Gender:F
Credentials:MS, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5501 HUDSON DR
Mailing Address - Street 2:
Mailing Address - City:ELDERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21784-6866
Mailing Address - Country:US
Mailing Address - Phone:443-712-7734
Mailing Address - Fax:
Practice Address - Street 1:250 ENGLAR RD STE 2
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-2927
Practice Address - Country:US
Practice Address - Phone:443-712-7734
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-04
Last Update Date:2018-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC8302101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional