MS. DORETHA DESTEFANO LGPC
NPI 1508219155
Counselor - Mental Health in Upper Marlboro, MD

Q: What is Doretha Destefano's NPI number?

The NPI number for Doretha Destefano is 1508219155. It was assigned to this individual provider in the NPPES registry on July 19, 2016.

Q: What is Doretha Destefano's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Doretha Destefano was last updated on September 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 19, 2016

14701 GOVERNOR ODEN BOWIE DR, UPPER MARLBORO, MD 20772(301) 952-4455 Get Directions Write a Review

NPPES record last updated: September 29, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Ms. Doretha Destefano Lgpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. DORETHA DESTEFANO LGPC (NPI 1508219155) is an individual mental health provider in Upper Marlboro, Maryland, licensed in Maryland (LGP6125) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1508219155

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMS. DORETHA DESTEFANOCredential: LGPC

Location Address14701 GOVERNOR ODEN BOWIE DRUpper Marlboro, MD 20772-3046

Mailing Address14701 Governor Oden Bowie DrUpper Marlboro, MD 20772-3046 · (301) 952-4455

Phone(301) 952-4455

Sole ProprietorYes

Enumeration DateJuly 19, 2016

Last NPPES UpdateSeptember 29, 2016

✔ NPI 1508219155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MD · LGP6125

14701 GOVERNOR ODEN BOWIE DR, Upper Marlboro, MD 20772

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DOREATHA KURTZ

Counselor (Addiction (Substance Use Disorder))

14701 GOVERNOR ODEN BOWIE DR, ROOM 4416
UPPER MARLBORO, MD 20772

Prince George's County (301) 780-7870

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Doretha Destefano's NPI number?

The NPI number for Doretha Destefano is 1508219155. It was assigned to this individual provider in the NPPES registry on July 19, 2016.

Where is Doretha Destefano located?

Doretha Destefano practices at 14701 Governor Oden Bowie Dr, Upper Marlboro, MD 20772. The listed phone number is (301) 952-4455.

What is Doretha Destefano's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Doretha Destefano was last updated on September 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.