IndividualActive
Addis Berek, LGPC
NPI 1104576008 · Professional Counselor · Laurel, MD
Provider details
- NPI number
- 1104576008
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LGPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- LGP11836 (MD)
Mailing address
13915 Shannon Ave
Laurel, MD 20707-5829
Registry dates
- Enumerated
- 2022-03-24
- Last updated
- 2022-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.