Individual
BETHANY GROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCPC, NCC
Contact information
Practice address
211 E FORT AVE, BALTIMORE, MD 21230-4628
(410) 908-9820
Mailing address
211 E FORT AVE, BALTIMORE, MD 21230-4628
(410) 908-9820
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC8811
MD
Other
Enumeration date
09/22/2017
Last updated
09/19/2022
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