Individual
MS. BAHAR JAVADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.,M.S.,LCPC
Contact information
Practice address
11108 BROAD GREEN DR, POTOMAC, MD 20854-2021
(301) 299-2921
Mailing address
11108 BROAD GREEN DR, POTOMAC, MD 20854-2021
(301) 299-2921
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC6379
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
095112900
—
MD
Enumeration date
06/11/2015
Last updated
03/05/2020
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