Individual provider · Type 1 NPI
Liberty Deffenbaugh
Professional Counselor · Severn, MD
NPI number
1962134247
Active
Practice location
8011 Ponderosa Dr
Severn, MD 21144-1751
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LGP12814 (MD) |
Professional Counselor: Definition to come...
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About NPI 1962134247
Liberty Deffenbaugh's National Provider Identifier is 1962134247, issued on Jun 27, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Severn, MD. The record was last updated on May 8, 2023.