Individual
MS. JACQUELINE L BITANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
20400 OBSERVATION DR STE 103, GERMANTOWN, MD 20876-4086
(240) 686-1971
Mailing address
20400 OBSERVATION DR STE 103, GERMANTOWN, MD 20876-4086
(240) 686-1971
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701008314
VA
101YP2500X
Professional Counselor
0701008314
VA
Other
Enumeration date
11/18/2014
Last updated
12/06/2023
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