Individual
BETHANY NAGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. LCPC
Contact information
Practice address
1200 E JOPPA RD, A1, TOWSON, MD 21286-5810
(301) 518-6870
Mailing address
2128 EASTRIDGE RD, TIMONIUM, MD 21093-3434
(301) 518-6870
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC6296
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
954126800
—
MD
Enumeration date
05/04/2015
Last updated
03/31/2017
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