Individual
BERNICE THOMAS- EL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSC- A&D
Contact information
Practice address
4601 FORBES BLVD, LANHAM, MD 20706-4807
(301) 306-4590
(301) 306-4591
Mailing address
4601 FORBES BLVD, LANHAM, MD 20706-4807
(301) 306-4590
(301) 306-4591
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC1021
MD
Other
Enumeration date
02/20/2013
Last updated
02/20/2013
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