Individual
MRS. MAUTEZ AMIA BETHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
9701 APOLLO DR, LARGO, MD 20774
(202) 780-6351
Mailing address
313 BEECH ST, FORT WASHINGTON, MD 20744-5007
(202) 780-6351
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC8127
MD
Other
Enumeration date
05/03/2016
Last updated
09/25/2024
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