Provider Demographics
NPI:1992826341
Name:KAMARA, BASHIRU VAA-ALIEU (CRC, LCPC)
Entity Type:Individual
Prefix:DR
First Name:BASHIRU
Middle Name:VAA-ALIEU
Last Name:KAMARA
Suffix:
Gender:M
Credentials:CRC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4714 PARKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21206-6841
Mailing Address - Country:US
Mailing Address - Phone:443-226-8891
Mailing Address - Fax:
Practice Address - Street 1:5718 HARFORD RD
Practice Address - Street 2:SUITE A
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21214-2237
Practice Address - Country:US
Practice Address - Phone:410-444-2777
Practice Address - Fax:410-444-2776
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2319101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional