Individual
MRS. DIANA RENEE BEALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1720 STURBRIDGE PL STE 10, CROFTON, MD 21114-2010
(443) 623-4448
Mailing address
1720 STURBRIDGE PL STE 10, CROFTON, MD 21114-2010
(443) 623-4448
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC3521
MD
Other
Enumeration date
07/25/2010
Last updated
03/04/2020
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