Individual
STEPHEN LYNDELL MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LGP
Contact information
Practice address
13400 EDGEMEADE RD, UPPER MARLBORO, MD 20772-8088
(240) 681-6000
(301) 579-2400
Mailing address
1004 CHISWELL LN, SILVER SPRING, MD 20901-1115
(410) 370-0202
(301) 579-2400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10004
LICENSED GRADUATE PROFESSIONAL COUNSELOR
MD
Enumeration date
01/17/2020
Last updated
01/17/2020
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