person
Ms. Doretha Destefano, LGPC
Mental Health Counselor in Upper Marlboro, Maryland
NPI 1508219155

Doretha Destefano is a Mental Health Counselor based in Upper Marlboro, MD and is specialized in Mental Health. Doretha Destefano practices in Upper Marlboro, MD and has the professional credentials of LGPC. The NPI Number for Doretha Destefano is 1508219155 and holds a License No. LGP6125 (Maryland).

The current practice location address for Doretha Destefano is 14701 Governor Oden Bowie Dr, Upper Marlboro, MD and can be reached out via phone at 301-952-4455.

Location: 14701 Governor Oden Bowie Dr, Upper Marlboro, MD, 20772-3046
person
Provider Profile Details
NPI Number
1508219155
Provider Name
Doretha Destefano
Credential
LGPC
Provider Entity Type
Individual
Gender
Female
Address
14701 Governor Oden Bowie Dr, Upper Marlboro, MD, 20772-3046
Phone Number
301-952-4455
Fax Number
Provider Enumeration Date
07/19/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14701 Governor Oden Bowie Dr
City
State
Zip
20772-3046
Phone Number
301-952-4455
Fax Number
person
Provider Business Mailing Address Details
Address
14701 Governor Oden Bowie Dr
City
State
Zip
20772-3046
Phone Number
301-952-4455
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LGP6125 (Maryland)
Definition
Definition to come...
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