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Individual

MRS. MARIAH BAINBRIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
780 LYNNHAVEN PKWY STE 110, VIRGINIA BEACH, VA 23452-7351
(804) 207-6737
(757) 301-8803
Mailing address
780 LYNNHAVEN PKWY STE 110, VIRGINIA BEACH, VA 23452-7351
(804) 207-6737
(757) 301-8803

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0704014637
VA
101YP2500X
Professional Counselor
Primary
0701013052
VA

Other

Enumeration date
02/15/2022
Last updated
08/06/2026
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