Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Doretha Destefano, LGPC

Individual provider Mental Health Counselor · NPI 1508219155

MS. Doretha Destefano, LGPC is a Mental Health Counselor in Upper Marlboro, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2016

Practice location Address checks out

14701 Governor Oden Bowie Dr
Upper Marlboro, MD 20772-3046
Phone: (301) 952-4455
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LGP6125 (MD)

Record details

NPI number1508219155
Entity typeIndividual (Type 1)
GenderFemale
Credentials LGPC
Sole proprietorYes
NPI enumeratedJuly 19, 2016
Last updated in NPPESSeptember 29, 2016

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