Adam Lawrence Iacarino, LCPC
Counselor, Professional in Millersville, MD. Individual provider (NPI-1).
NPI number1295083277
StatusActive
Last updated in NPPESJul 7, 2019
Details
- NPI
- 1295083277
- Entity type
- Individual (NPI-1)
- Name
- Mr. Adam Lawrence Iacarino
- Credential
- LCPC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 21, 2012
- Last updated
- Jul 7, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 5778 | MD | Yes |
Practice location
1110 Benfield BlvdSuite J
Millersville, MD 21108-2639
Phone 443-845-0012
Mailing address
1110 Benfield BlvdSuite J
Millersville, MD 21108-2639
Phone 443-845-0012
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