Provider Demographics
NPI:1750750337
Name:ALSRUHE, ALENA (LCPC)
Entity type:Individual
Prefix:
First Name:ALENA
Middle Name:
Last Name:ALSRUHE
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:ALENA
Other - Middle Name:
Other - Last Name:LOOSARARIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC
Mailing Address - Street 1:4249 ARTHUR SHIPLEY RD
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-8201
Mailing Address - Country:US
Mailing Address - Phone:443-536-6852
Mailing Address - Fax:
Practice Address - Street 1:250 ENGLAR RD
Practice Address - Street 2:OFFICE # 2
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-2929
Practice Address - Country:US
Practice Address - Phone:443-536-6852
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-24
Last Update Date:2016-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC6465101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional