Individual
MISS KRISTIN MARIE DISCEPOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
962 WAYNE AVE STE 920, SILVER SPRING, MD 20910-4480
(202) 579-0530
Mailing address
7611 MAPLE AVE, 805, TAKOMA PARK, MD 20912-5559
(202) 579-0530
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC2208
MD
Other
Enumeration date
04/07/2007
Last updated
06/09/2020
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