Individual
ATAR STAV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-S, NCC
Contact information
Practice address
316 MAIN ST STE 200B, GAITHERSBURG, MD 20878-6551
(704) 303-1080
Mailing address
316 MAIN ST STE 200B, GAITHERSBURG, MD 20878-6551
(443) 840-9348
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC13642
MD
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
05/24/2021
Last updated
08/04/2025
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