Individual
DR. ADDIS BEREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
13915 SHANNON AVE, LAUREL, MD 20707-5829
(301) 435-5221
Mailing address
13915 SHANNON AVE, LAUREL, MD 20707-5829
(301) 435-5221
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP11836
MD
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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