Individual
YETTA LYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGPC, LCPC
Contact information
Practice address
903 BRIGHTSEAT RD, LANDOVER, MD 20785-4725
(240) 731-2830
Mailing address
1304 KINGS HEATHER DR, MITCHELLVILLE, MD 20721-2037
(240) 731-2830
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LC9663
MD
101YP2500X
Professional Counselor
Primary
LGP7593
MD
101YP2500X
Professional Counselor
LGPC90144
DC
Other
Enumeration date
10/09/2017
Last updated
11/07/2022
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