Conrad, Elisa S.

Conrad, Elisa S. is an sole proprietor health care provider with primary practice located at 604 S Frederick Ave Suite 211, Gaithersburg MD 20877-1275. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Conrad, Elisa S. can be contacted via phone (774) 573-1512.

Contact Information

Primary practice address
604 S Frederick Ave Suite 211 Gaithersburg MD 20877-1275
Phone: (774) 573-1512
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 52859 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Behavioral Health & Social Service Providers / Professional 101YP2500X LC3301 Maryland

Profile Details

NPI number 1861518235
LBN Legal business name Conrad, Elisa S.
Credentials MA, LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2007
Last updated Jun 19th, 2012 - about 12 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.

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