# KRISTEN M DISCEPOLO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396471504
- **Authorized official:** MS. KRISTIN MARIE DISCEPOLO LCPC (COUNSELOR)
- **Authorized official phone:** (202) 579-0530

## Contact information

- **Practice address:** 11119 ROCKVILLE PIKE STE 200, NORTH BETHESDA, MD 20852-3143
- **Practice address phone:** (202) 539-0530
- **Mailing address:** 11119 ROCKVILLE PIKE STE 200, ROCKVILLE, MD 20852-3143
- **Mailing address phone:** (202) 579-0530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 101YP2500X | Professional Counselor | — | NULL | — |

## Other

- **Enumeration date:** 07/29/2022
- **Last updated:** 10/15/2026