Buresh, Carolyn Marie
Buresh, Carolyn Marie is an individual health care provider with primary practice located at 4550 Centennial Ln , Ellicott City MD 21042-6274. She recently has only one registered license in Behavioral Health & Social Service Providers / Pastoral, which is considered as her primary health care specialty. Buresh, Carolyn Marie can be contacted via phone (800) 491-5369.Contact Information
Primary practice address
4550 Centennial Ln
Ellicott City MD 21042-6274
Phone: (800) 491-5369
Fax: (301) 774-3678
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | LC4954 | Maryland |
Profile Details
| NPI number | 1811008667 |
|---|---|
| LBN Legal business name | Buresh, Carolyn Marie |
| Credentials | M.S., L.C.P.C. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Mar 22nd, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811008667 | NPPES |
| Maryland | Other | LC4954 | LCPC |
| Maryland | Other | 269185 | LCPC |
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