Individual provider · Type 1 NPI

Courtney Fantasia ST John, M.ED., LGPC

Counselor · Silver Spring, MD

NPI number 1043079874 Active

Practice location

8730 Georgia Ave Ste 200D
Silver Spring, MD 20910-3651

Call (571) 721-1347 Map

Mailing address

5908 Darel St
Suitland, MD 20746-3832

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XLGP14915 (MD)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1043079874

Courtney Fantasia ST John, M.ED., LGPC's National Provider Identifier is 1043079874, issued on Mar 14, 2024. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Silver Spring, MD. The record was last updated on Mar 14, 2024.