Individual
VICTORIA FAYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCPC
Contact information
Practice address
19021 DOWDEN CIR, POOLESVILLE, MD 20837-2140
(301) 605-3441
Mailing address
20547 GLOUCESTER LN, BEND, OR 97701-7042
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC11580
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GB05-0000
CAREFIRST/BCBS
MD
Enumeration date
07/11/2019
Last updated
08/08/2022
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