Individual
MRS. VERONICA BOUFFARD BANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, MA, ADTR
Contact information
Practice address
164 WEST MAIN STREET, SUITE A, NEW MARKET, MD 21774
(301) 693-5931
(301) 865-6720
Mailing address
PO BOX 277, NEW MARKET, MD 21774
(301) 693-5931
(301) 865-6720
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC2262
MD
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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