Individual
LESLEE BRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMFT
Contact information
Practice address
120 W CHURCH ST STE 3B, FREDERICK, MD 21701
(301) 281-4963
Mailing address
5257 BUCKEYSTOWN PIKE # 123, FREDERICK, MD 21704-7535
(301) 514-8120
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCM570
MD
101YP2500X
Professional Counselor
LCM570
MD
106H00000X
Marriage & Family Therapist
Primary
LCM570
MD
Other
Enumeration date
11/17/2015
Last updated
05/14/2018
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