Individual
DUSTIN MENICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
4815 SAINT ELMO AVE, SUITE 100, BETHESDA, MD 20814-7061
(301) 257-8833
Mailing address
8309 SNUG HILL LN, POTOMAC, MD 20854-4057
(301) 257-8833
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC4885
MD
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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