Ducharme, Desiree
Ducharme, Desiree is an individual health care provider with primary practice located at 8 Alder Dr Apt B , Middle River MD 21220-5011. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Ducharme, Desiree can be contacted via phone (443) 904-6370.Contact Information
Primary practice address
8 Alder Dr Apt B
Middle River MD 21220-5011
Phone: (443) 904-6370
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LGP8797 | Maryland |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LC10603 | Maryland |
Profile Details
NPI number | 1992364798 |
---|---|
LBN Legal business name | Ducharme, Desiree |
Credentials | LCPC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 6th, 2019 |
Last updated | Sep 28th, 2022 - about 3 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 | 1992364798 | NPPES |
Maryland | MEDICAID | 1027305 | |
Maryland | MEDICAID | 249380200 |
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