Individual
DR. PRINCESS SOUVENIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
3909 NATIONAL DR STE 100, BURTONSVILLE, MD 20866-1192
(240) 755-8089
Mailing address
11720 BELTSVILLE DR STE 500-A4, BELTSVILLE, MD 20705-3166
(240) 755-8089
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC10330
MD
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
LGP8593
MD
Other
Enumeration date
11/05/2013
Last updated
05/22/2024
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