Individual
OCTAVIA GUILBAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
122 LANGLEY RD N STE A, GLEN BURNIE, MD 21060
(410) 222-6785
(410) 222-6888
Mailing address
122 LANGLEY RD N STE A, GLEN BURNIE, MD 21060-6531
(301) 395-6489
(410) 366-8530
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC3811
MD
Other
Enumeration date
07/21/2011
Last updated
01/18/2019
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