Organization
THE C AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELANDRIA STATON LPC (CEO/ THERAPIST)
(404) 245-5669
Entity
Organization
Contact information
Practice address
9300 LOTTSFORD RD APT 7408, LARGO, MD 20774-4918
(404) 245-5669
Mailing address
9300 LOTTSFORD RD APT 7408, LARGO, MD 20774-4918
(404) 245-5669
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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