Individual
DE'TRECE ATALIE LAVENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCC. LCPC
Contact information
Practice address
4904 YORK RD UNIT 4506, BALTIMORE, MD 21212-7501
(240) 565-0569
(240) 427-9390
Mailing address
4904 YORK RD UNIT 4506, BALTIMORE, MD 21212-7501
(240) 565-0569
(240) 427-9390
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC14772
MD
Other
Enumeration date
01/07/2022
Last updated
08/30/2024
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