Provider Demographics
NPI:1669585931
Name:SKUHR, GERALDINE K (LCPC LCADC SAP CEAP)
Entity type:Individual
Prefix:
First Name:GERALDINE
Middle Name:K
Last Name:SKUHR
Suffix:
Gender:F
Credentials:LCPC LCADC SAP CEAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 EAST JOPPA ROAD
Mailing Address - Street 2:LL04
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286
Mailing Address - Country:US
Mailing Address - Phone:410-832-8700
Mailing Address - Fax:410-832-8844
Practice Address - Street 1:204 EAST JOPPA ROAD
Practice Address - Street 2:LL04
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286
Practice Address - Country:US
Practice Address - Phone:410-832-8700
Practice Address - Fax:410-832-8844
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCA153101YA0400X
MDLC0200101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional