Individual
MR. BOBBY VANN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LGPC
Contact information
Practice address
8415 BELLONA LN, SUITE 215, TOWSON, MD 21204-2055
(410) 245-2611
Mailing address
8415 BELLONA LN, SUITE 215, TOWSON, MD 21204-2055
(410) 245-2611
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP7337
MD
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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