Individual
CHRISTY A DENCKLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, NCC
Contact information
Practice address
6100 RADIO STATION RD, LA PLATA, MD 20646
(718) 249-3703
Mailing address
1738 L ST NE, WASHINGTON, DC 20002-3010
(718) 249-3703
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
004083
NY
101YP2500X
Professional Counselor
232504
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9806130
AETNA
NY
Enumeration date
09/26/2008
Last updated
06/21/2012
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