Individual
MARK ANTHONY FABIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
314 FRANKLIN AVENUE, STE 403, BERLIN, MD 21811-1215
(410) 973-2211
(443) 782-0350
Mailing address
314 FRANKLIN AVENUE, STE 403, BERLIN, MD 21811-1215
(410) 973-2211
(443) 782-0350
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LC9312
MD
101YP2500X
Professional Counselor
Primary
LC9312
MD
Other
Enumeration date
06/15/2021
Last updated
02/09/2024
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