Individual
LEODOR ALTIDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LGPC
Contact information
Practice address
7207 BALTIMORE AVE, COLLEGE PARK, MD 20740-3269
(301) 615-8802
Mailing address
7207 BALTIMORE AVE, COLLEGE PARK, MD 20740-3269
(301) 615-8802
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP8988
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LGP8988
MARYLAND BOARD OF COUNSELING
MD
Enumeration date
12/11/2019
Last updated
12/11/2019
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