Individual provider · Type 1 NPI

Roxanne Lynne Phan

Mental Health Counselor · Columbia, MD

NPI number 1679451017 Active

Practice location

8894 Stanford Blvd Ste 103
Columbia, MD 21045-5161

Call (646) 535-8260 Map

Mailing address

8046 Round Moon Cir
Jessup, MD 20794-9023

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLGP16853 (MD)

Mental Health Counselor: Definition to come...

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About NPI 1679451017

Roxanne Lynne Phan's National Provider Identifier is 1679451017, issued on Aug 25, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Columbia, MD. The record was last updated on Aug 25, 2025.