Individual
COURTNEY FANTASIA ST JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LGPC
Contact information
Practice address
8730 GEORGIA AVE STE 200D, SILVER SPRING, MD 20910-3651
(571) 721-1347
Mailing address
5908 DAREL ST, SUITLAND, MD 20746-3832
(301) 442-2398
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP14915
MD
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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