| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 119 N West St, Easton, Maryland |
| Authorized Official Name and Position | Loriann H Oberlin (LCPC) |
| Authorized Official Contact | 3014618528 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
273 Hickory Ridge Dr Queenstown MD 21658-1392 Ph: (301) 461-8528 | 119 N West St Easton MD 21601-2709 Ph: (301) 461-8528 |
| NPI Number | 1679075337 |
|---|---|
| Provider Enumeration Date | 03/08/2018 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 2163969692 |
|---|---|
| Medicare Enrollment ID | O20240801004125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679075337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LC2762 (Maryland) | Primary |
| Provider Name | Loriann Hoff Oberlin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457525024 PECOS PAC ID: 3072050509 Enrollment ID: I20240801004162 |
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