Individual
RYAN DEFIBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC, NCC
Contact information
Practice address
8006 BROKEN REED CT, FREDERICK, MD 21701-3279
(301) 867-6577
Mailing address
8006 BROKEN REED CT, FREDERICK, MD 21701-3279
(301) 867-6577
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC8499
MD
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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