Individual
MRS. BELITA AHUNNA PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC3004
MD
225C00000X
Rehabilitation Counselor
00090096
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12121882
CAQH
—
05
—
321207600
—
MD
Enumeration date
06/25/2010
Last updated
01/22/2020
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