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NPI Profile for ETHEL A BAKKE in HAVRE DE GRACE, MD.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Counselor |
101Y00000X |
| NPI Number | 1225345937 |
|
| Status | Active | |
| Credentials | LPC, NCC, LMHC, CAP | |
| Entity | Individual | |
| Enumeration date | 09/02/2010 | |
| Last updated | 11/21/2024 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ETHEL A BAKKE
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ETHEL A BAKKE, LPC, NCC, LMHC, CAP