Provider Demographics
NPI:1871981860
Name:ABRAMSON, REBECCA (MS, LCPC)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:ABRAMSON
Suffix:
Gender:F
Credentials:MS, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10605 CONCORD ST STE 100
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-2500
Mailing Address - Country:US
Mailing Address - Phone:301-471-5558
Mailing Address - Fax:
Practice Address - Street 1:10605 CONCORD ST STE 100
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-2500
Practice Address - Country:US
Practice Address - Phone:301-471-5558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-30
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC6049101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD8410305-00Medicaid
MD1366992299OtherNPI 2