Provider Demographics
NPI:1902114820
Name:FRUHLING, STACY CHRISTINE (LCPC, LCADC)
Entity Type:Individual
Prefix:
First Name:STACY
Middle Name:CHRISTINE
Last Name:FRUHLING
Suffix:
Gender:F
Credentials:LCPC, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:929 TIPTON RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-3785
Mailing Address - Country:US
Mailing Address - Phone:443-559-4595
Mailing Address - Fax:443-559-4595
Practice Address - Street 1:929 TIPTON RD
Practice Address - Street 2:
Practice Address - City:MIDDLE RIVER
Practice Address - State:MD
Practice Address - Zip Code:21220-3785
Practice Address - Country:US
Practice Address - Phone:443-559-4595
Practice Address - Fax:443-559-4595
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-14
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC1779101YM0800X
MDLCA460101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health