Individual
MR. BERNARD GOODING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
1113 IVY CLUB LN UNIT 742, LANDOVER, MD 20785-4521
(301) 379-2619
Mailing address
PO BOX 6095, LARGO, MD 20792-6095
(301) 379-2619
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC1882
MD
Other
Enumeration date
03/26/2013
Last updated
12/18/2017
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