Individual
MEGAN M LESTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
903 BRIGHTSEAT RD, LANDOVER, MD 20785-4725
(734) 626-0285
Mailing address
5730 BUGLER ST, CAPITOL HEIGHTS, MD 20743-6141
(734) 626-0285
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP9909
MD
101YP2500X
Professional Counselor
LGP9909
MD
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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