Individual
BRENDA SANTOSUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2401 LIBERTY HEIGHTS AVE, BALTIMORE, MD 21215-8019
(410) 233-1088
Mailing address
2401 LIBERTY HEIGHTS AVE, BALTIMORE, MD 21215-8019
(410) 233-1088
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC5728
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LC5728
MARYLAND BOARD OF PROFESSIONAL COUNSELORS
MD
Enumeration date
06/21/2016
Last updated
06/21/2016
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