Individual
KIM BEVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCPC
Contact information
Practice address
1900 N HOWARD ST STE 300, BALTIMORE, MD 21218-5909
(443) 438-6742
(443) 773-5624
Mailing address
1900 N HOWARD ST STE 300, BALTIMORE, MD 21218-5909
(443) 438-6742
(443) 773-5624
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC11126
MD
101YP2500X
Professional Counselor
LGP8962
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38-3876389
—
MD
Enumeration date
12/04/2018
Last updated
02/16/2024
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