Individual
BEVERLY PHILLIPS ROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
5020 SUNNYSIDE AVE, SUITE 112, BELTSVILLE, MD 20705-2307
(240) 297-9143
Mailing address
9103 WOODMORE CENTER DR, SUITE 188, LANHAM, MD 20706-1653
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
LC7116
MD
Other
Enumeration date
01/22/2017
Last updated
01/22/2017
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