Individual
LAURA BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
10630 LITTLE PATUXENT PKWY, 209, COLUMBIA, MD 21044-3264
(410) 740-8068
Mailing address
920 WALNUT WOOD RD, COCKEYSVILLE, MD 21030-5407
(410) 370-4868
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC4104
MD
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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