Provider Demographics
NPI:1063193449
Name:PEAR, AVRAHAM (LGPC)
Entity type:Individual
Prefix:
First Name:AVRAHAM
Middle Name:
Last Name:PEAR
Suffix:
Gender:M
Credentials:LGPC
Other - Prefix:
Other - First Name:AVI
Other - Middle Name:
Other - Last Name:PEAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LGPC
Mailing Address - Street 1:8501 LA SALLE RD STE 115
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-5919
Mailing Address - Country:US
Mailing Address - Phone:420-337-7772
Mailing Address - Fax:
Practice Address - Street 1:8501 LASALLE RD
Practice Address - Street 2:SUITE 115
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-5919
Practice Address - Country:US
Practice Address - Phone:410-337-7772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-27
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP13932101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional