Individual
CHANA ROCHEL BRUCKENSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
3910 W STRATHMORE AVE, BALTIMORE, MD 21215-3404
(443) 571-4249
Mailing address
3910 W STRATHMORE AVE, BALTIMORE, MD 21215-3404
(443) 571-4249
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC8699
MD
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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