IndividualActive
Andrew Bodine, LCPC
NPI 1629690748 · Counselor · Frederick, MD
Provider details
- NPI number
- 1629690748
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- LCPC
- Sex
- Male
- Sole proprietor
- No
- License
- 12501 (MD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
5970 Frederick Crossing Ln
Frederick, MD 21704-5165
Phone: (240) 415-8893
Approximate (ZIP-level) locationGet directions
Mailing address
5970 Frederick Crossing Ln Ste 100
Frederick, MD 21704-5176
Registry dates
- Enumerated
- 2020-05-12
- Last updated
- 2025-10-13
- Certified
- 2025-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.