Provider Demographics
NPI:1285947176
Name:POPIOLEK, EUGENE BERNARD JR (LCPC)
Entity type:Individual
Prefix:MR
First Name:EUGENE
Middle Name:BERNARD
Last Name:POPIOLEK
Suffix:JR
Gender:M
Credentials:LCPC
Other - Prefix:
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Mailing Address - Street 1:1108 BENJAMIN RD
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-2733
Mailing Address - Country:US
Mailing Address - Phone:410-838-6880
Mailing Address - Fax:443-412-2314
Practice Address - Street 1:141 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-3576
Practice Address - Country:US
Practice Address - Phone:410-838-6880
Practice Address - Fax:443-412-2314
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-20
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDLC1243101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional