Individual
JULIA DEMATATIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGPC, NCC
Contact information
Practice address
9707 KEY WEST AVE STE 100, ROCKVILLE, MD 20850-3992
(240) 750-6467
Mailing address
15212 AYLESBURY ST, SILVER SPRING, MD 20905-4201
(240) 603-3646
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LGP9458
MD
101YP2500X
Professional Counselor
Primary
LGP9458
—
Other
Enumeration date
04/17/2019
Last updated
05/01/2019
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