Individual
SHANICE BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
7520 STANDISH PL STE 190, ROCKVILLE, MD 20855-2847
(301) 525-2029
Mailing address
6505 SIMMONS LN, CLINTON, MD 20735-9714
(850) 499-6723
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LGP9562
MD
101YM0800X
Mental Health Counselor
Primary
LC11404
MD
Other
Enumeration date
05/25/2019
Last updated
06/18/2025
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