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PIERRE BASHLER DORIVAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LGPC

Contact information

Practice address
4303 FORBES BLVD, LANHAM, MD 20706-4333
(443) 522-0234
Mailing address
208 FRESHET LN, LAUREL, MD 20724-2168
(240) 565-1544

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP11279

Other

Enumeration date
04/09/2021
Last updated
05/02/2024
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