Individual
GREGORY BEARSTOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCADC
Contact information
Practice address
3635 ELDER OAKS BLVD, 1407, BOWIE, MD 20716-3303
(443) 852-0507
Mailing address
3635 ELDER OAKS BLVD, APARTMENT # 1407, BOWIE, MD 20716-3303
(443) 852-0507
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCA278
MD
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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