Individual
MRS. MARIAN H VANBRONKHORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
19000 SOUSA WAY, MONTGOMERY VILLAGE, MD 20886-3142
(301) 330-3373
(301) 330-0405
Mailing address
19000 SOUSA WAY, MONTGOMERY VILLAGE, MD 20886-3142
(301) 330-3373
(301) 330-0405
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC0167
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LC0167
LCPC
MD
Enumeration date
10/04/2006
Last updated
07/08/2007
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