Individual
STACY REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 E WEST HWY APT 625, SILVER SPRING, MD 20910-3257
(872) 228-5249
Mailing address
1400 E WEST HWY APT 625, SILVER SPRING, MD 20910-3257
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGPC00659
DC
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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