Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | LC2382 | MD |
Y | 101YP2500X | Professional Counselor | LC2382 | MD |
NPI | 1366465320 |
---|---|
Provider Name | Mrs. Michele A Deinish |
First Address | Westminster, MD 21157-5410 |
Second Address | Westminster, MD 21157-5410 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 29/11/2011 |