Individual
MRS. LARA JAYNE PETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
10630 LITTLE PATUXENT PKWY STE 209, COLUMBIA, MD 21044-6278
(240) 470-0663
Mailing address
11905 NEW COUNTRY LN, COLUMBIA, MD 21044-4404
(240) 470-0663
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC6145
MD
Other
Enumeration date
06/28/2015
Last updated
08/19/2021
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