Individual
MRS. CAROLYN MARIE BURESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., L.C.P.C.
Contact information
Practice address
4550 CENTENNIAL LN, ELLICOTT CITY, MD 21042-6274
(800) 491-5369
(301) 774-3678
Mailing address
PO BOX 339, ASHTON, MD 20861-0339
(800) 491-5369
(301) 774-3678
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
LC4954
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
269185
NATIONAL BOARD FOR CERTIFIED COUNSELORS
—
01
—
LC4954
LCPC
MD
Enumeration date
08/31/2006
Last updated
03/22/2013
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