Individual provider · Type 1 NPI
De'trece Atalie Lavender, NCC. LCPC
Professional Counselor · Baltimore, MD
NPI number
1073274387
Active
Practice location
4904 York Rd Unit 4506
Baltimore, MD 21212-7501
Fax (240) 427-9390
Other practice locations
- 8101 Sandy Spring Rd Ste 250, Laurel, MD 20707-3527 · (667) 228-8397
- 4359 Northview Dr, Bowie, MD 20716-2603 · (240) 565-0569
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LC14772 (MD) |
Professional Counselor: Definition to come...
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About NPI 1073274387
De'trece Atalie Lavender, NCC. LCPC's National Provider Identifier is 1073274387, issued on Jan 7, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Baltimore, MD. The record was last updated on Aug 30, 2024.