Provider Demographics
NPI:1134523384
Name:RAMACHANDRAN, RAJI (LCPC)
Entity type:Individual
Prefix:MS
First Name:RAJI
Middle Name:
Last Name:RAMACHANDRAN
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 1:2401 E NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21213-1517
Mailing Address - Country:US
Mailing Address - Phone:410-675-2113
Mailing Address - Fax:
Practice Address - Street 1:205 E JOPPA RD STE 106
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-3203
Practice Address - Country:US
Practice Address - Phone:410-337-0007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-17
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC5679101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health