Liberty Deffenbaugh Valid NPI
Individual provider · Professional Counselor · Severn, MD
- NPI
- 1962134247
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- LGP12814 (MD)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2022-06-27
- Last updated
- 2023-05-08
Practice location
8011 Ponderosa Dr
Severn, MD 21144-1751
(443) 569-6905