Individual
SAMANTHA HETCHKOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
5652 SHIELDS DR, BETHESDA, MD 20817-3574
(240) 225-0522
Mailing address
12400 PARK POTOMAC AVE APT 405, POTOMAC, MD 20854-6987
(301) 466-2994
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP9769
MD
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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