Individual
CANDACE MONIQUE BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5909 OSLO CT, COLUMBIA, MD 21044-5735
(410) 963-8512
Mailing address
5909 OSLO CT, COLUMBIA, MD 21044-5735
(410) 963-8512
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LG12423
—
Other
Enumeration date
12/19/2022
Last updated
01/19/2024
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