| NPI | 1023506482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENESE NADINE STEPHENS Lpc 301-844-1752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701007491) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |