Lundquist, Stacey Katheryn

Lundquist, Stacey Katheryn is an individual health care provider with primary practice located at 3060 Michellville Rd Suite 106, Bowie MD 20716. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Lundquist, Stacey Katheryn can be contacted via phone (410) 893-4600.

Contact Information

Primary practice address
3060 Michellville Rd Suite 106 Bowie MD 20716
Fax: (443) 640-4358
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LGP8365 Maryland

Profile Details

NPI number 1508330903
LBN Legal business name Lundquist, Stacey Katheryn
Credentials LGPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2019
Last updated Jan 18th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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