Individual provider · Type 1 NPI

Stacey Katheryn Lundquist, LGPC

Counselor · Bowie, MD

NPI number 1508330903 Active

Practice location

3060 Michellville Rd, Suite 106
Bowie, MD 20716

Call (410) 893-4600 Map

Fax (443) 640-4358

Mailing address

7316 Bramblebush Ter
Laurel, MD 20707-9514

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XLGP8365 (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 1508330903

Stacey Katheryn Lundquist, LGPC's National Provider Identifier is 1508330903, issued on Jan 18, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Bowie, MD. The record was last updated on Jan 18, 2019.