Individual
LISETTE M MONTALVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LGPC
Contact information
Practice address
11785 BELTSVILLE DR STE 120, CALVERTON, MD 20705-3121
(240) 389-1487
Mailing address
11785 BELTSVILLE DR STE 120, CALVERTON, MD 20705-3121
(240) 389-1487
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP15916
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor
LGP15916
MD
101YM0800X
Mental Health Counselor
LGP15916
MD
101YP2500X
Professional Counselor
LGP15916
MD
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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