Individual
KELSEY E AVERBUKH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
44 SACRED HEART LN, REISTERSTOWN, MD 21136-1107
(443) 584-3767
Mailing address
44 SACRED HEART LN, REISTERSTOWN, MD 21136-1107
(443) 584-3767
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC10992
MD
Other
Enumeration date
12/16/2018
Last updated
03/01/2021
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