Organization · Type 2 NPI

Legacy Family Services, LLC

Professional Counselor · Glenn Dale, MD

NPI number 1770180838 Active

Practice location

11415 Old Pond Dr
Glenn Dale, MD 20769-9154

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

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About NPI 1770180838

Legacy Family Services, LLC's National Provider Identifier is 1770180838, issued on Oct 1, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Glenn Dale, MD. The record was last updated on Oct 1, 2020.