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Individual

GRACE W KARIUKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
6035 BICKNELL RD, INDIAN HEAD, MD 20640-3417
(240) 435-8114
(301) 609-7284
Mailing address
6035 BICKNELL RD, INDIAN HEAD, MD 20640-3417
(240) 435-8114
(301) 609-7284

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
6816
NC
101YP2500X
Professional Counselor
Primary
LC3099
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6103748
NC
Enumeration date
11/07/2007
Last updated
04/24/2012
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