Individual
MRS. ALEXIS DE LA ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
4405 E WEST HWY, BETHESDA, MD 20814-4522
(301) 852-5888
Mailing address
4604 SAUL RD, KENSINGTON, MD 20895-4221
(202) 247-5564
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP10907
MD
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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