MRS. Veronica Bouffard Bannon, LCPC, MA, ADTR

NPI #1942438494 in New Market, Maryland

Provider Information

NPI Number: 1942438494
Entity Type: Individual
Name: MRS. Veronica Bouffard Bannon, LCPC, MA, ADTR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: LCPC, MA, ADTR
Enumeration Date: Jun 23, 2009
Last Updated: Jun 23, 2009

Practice Location

Address: 164 WEST MAIN STREET
Address 2: SUITE A
City: New Market
State: Maryland
ZIP Code: 21774
Phone: (301) 693-5931

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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