Provider Demographics
NPI:1720609795
Name:TOELLER, AMBER MCCRADY (LCPC, LPC)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:MCCRADY
Last Name:TOELLER
Suffix:
Gender:F
Credentials:LCPC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15501 SCOTCH HEATHER CT
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20853-1491
Mailing Address - Country:US
Mailing Address - Phone:301-466-1994
Mailing Address - Fax:
Practice Address - Street 1:8120 WOODMONT AVE STE 960
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-2775
Practice Address - Country:US
Practice Address - Phone:301-960-3955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-30
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC14095101YP2500X
DCPRC15337101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional