Individual provider · Type 1 NPI

Addis Berek, LGPC

Professional Counselor · Laurel, MD

NPI number 1104576008 Active

Practice location

13915 Shannon Ave
Laurel, MD 20707-5829

Call (301) 435-5221 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLGP11836 (MD)

Professional Counselor: Definition to come...

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About NPI 1104576008

Addis Berek, LGPC's National Provider Identifier is 1104576008, issued on Mar 24, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Laurel, MD. The record was last updated on Mar 24, 2022.