Individual
MR. MALCOLM IAN BERNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1320 CENTRAL PARK BLVD STE 200, FREDERICKSBURG, VA 22401-4953
(540) 709-1778
(540) 227-7050
Mailing address
800 BATTERY AVE SE STE 100, ATLANTA, GA 30339-5107
(540) 709-1778
(540) 227-7050
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701008236
VA
Other
Enumeration date
02/19/2020
Last updated
10/30/2023
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