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Rony Kusnadi, LCPC

Counselor, Professional in Lutherville, MD. Individual provider (NPI-1).

NPI number1154732071
StatusActive
Last updated in NPPESJan 15, 2016

Details

NPI
1154732071
Entity type
Individual (NPI-1)
Name
Rony Kusnadi
Credential
LCPC
Sex
Male
Sole proprietor
Yes
Enumeration date
May 13, 2014
Last updated
Jan 15, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, ProfessionalLC5459MDYes

Practice location

2324 W Joppa Rd
Ste 420
Lutherville, MD 21093-4615

Phone 240-706-5506

Mailing address

10411 Cranbrook Hills Pl
Apt G
Cockeysville, MD 21030-2755

Phone 240-706-5506

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