Provider Demographics
NPI:1811309313
Name:NNOROM, MICHELLE (LCPC)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:NNOROM
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:SAUSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC
Mailing Address - Street 1:PO BOX 2924
Mailing Address - Street 2:
Mailing Address - City:LA PLATA
Mailing Address - State:MD
Mailing Address - Zip Code:20646-2984
Mailing Address - Country:US
Mailing Address - Phone:301-609-9887
Mailing Address - Fax:301-609-9091
Practice Address - Street 1:49 OLD SOLOMONS ISLAND RD
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3854
Practice Address - Country:US
Practice Address - Phone:410-295-5741
Practice Address - Fax:410-295-7590
Is Sole Proprietor?:No
Enumeration Date:2014-06-02
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC4442101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional