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Individual

TRYSTAN D BALDERSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LGPC

Contact information

Practice address
11941 BOURNEFIELD WAY, SILVER SPRING, MD 20904-7821
(877) 552-6672
(224) 306-1878
Mailing address
1 MCINTOSH CT APT G, CATONSVILLE, MD 21228-6019
(410) 564-7626

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP14177
MD

Other

Enumeration date
02/09/2024
Last updated
02/09/2024
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