Provider Demographics
NPI:1477887800
Name:RABB, NANCY B (LCPC)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:B
Last Name:RABB
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:KOERNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 E JOPPA RD STE 400
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-3109
Mailing Address - Country:US
Mailing Address - Phone:443-300-6905
Mailing Address - Fax:
Practice Address - Street 1:200 E JOPPA RD STE 407
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-3109
Practice Address - Country:US
Practice Address - Phone:443-300-6905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-02
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC3249101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional