Individual provider · Type 1 NPI

Dominique Stegall

Addiction (Substance Use Disorder) Counselor · Lanham, MD

NPI number 1891490249 Active

Practice location

8118 Good Luck Rd
Lanham, MD 20706-3574

Mailing address

2 Glasgow Ct
Florissant, MO 63033-8025

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1891490249

Dominique Stegall's National Provider Identifier is 1891490249, issued on Apr 4, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lanham, MD. The record was last updated on Apr 4, 2023.