Individual
MICHELLE DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12504 KEYNOTE LN, BOWIE, MD 20715-2746
(301) 520-9764
Mailing address
12504 KEYNOTE LN, BOWIE, MD 20715-2746
(301) 520-9764
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PRC14964
DC
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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