Individual
MS. DARA GERVAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
4419 FALLS RD, SUITE A, BALTIMORE, MD 21211-1226
(443) 304-7137
Mailing address
4419 FALLS RD STE A, BALTIMORE, MD 21211-1298
(443) 304-7137
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ATG172
MD
101YM0800X
Mental Health Counselor
Primary
LC7362
MD
Other
Enumeration date
01/16/2015
Last updated
10/22/2025
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