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Individual

GISELA DE LA PENA BAPTISTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
8640 GUILFORD RD STE 251, COLUMBIA, MD 21046-2665
(419) 992-2224
Mailing address
10447 FAIR OAKS, COLUMBIA, MD 21044-4143
(410) 992-2224

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC4436
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1760727069
NPI II
Enumeration date
09/26/2018
Last updated
09/26/2018
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