Individual
DIANE BAHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
8 CHURCH CIR, 2A 53, ANNAPOLIS, MD 21401-1934
(410) 222-1491
(410) 222-2070
Mailing address
122 LANGLEY RD N, GLEN BURNIE, MD 21060-6531
(410) 222-0100
(410) 222-0125
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC22802
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101Y0000X
—
MD
Enumeration date
08/02/2016
Last updated
08/02/2016
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