Individual
MRS. MARIAH BAINBRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
780 LYNNHAVEN PKWY STE 340, VIRGINIA BEACH, VA 23452-7361
(757) 694-4723
Mailing address
821 DAIMLER DR, VIRGINIA BEACH, VA 23454-6970
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704014637
VA
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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