Provider Demographics
NPI:1487427639
Name:YAUGER, CAROL E (LCPC)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:E
Last Name:YAUGER
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2802 MONTCLAIR DR
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-3424
Mailing Address - Country:US
Mailing Address - Phone:203-581-4254
Mailing Address - Fax:
Practice Address - Street 1:2802 MONTCLAIR DR
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043-3424
Practice Address - Country:US
Practice Address - Phone:203-581-4254
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC14537101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health