Individual
BIANCA LAVONNE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
4450 MITCHELLVILLE RD # 1065, BOWIE, MD 20716-3112
(443) 500-0630
Mailing address
12213 MALTA LN, BOWIE, MD 20715-1811
(480) 518-1336
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC82222
MD
101YP2500X
Professional Counselor
LGP6188
MD
Other
Enumeration date
03/15/2015
Last updated
02/21/2025
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