Most Relevant Information
Provider Data
| NPI Number: | 1003691833 |
| Provider Name: | MEKEDES DAGNACHEW LEGESSE LGPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | LGP13714 |
Most Important Dates
| Enumeration Date: | 08/29/2023 |
| Last Updated: | 08/29/2023 |
Provider Practice Location
14502 GREENVIEW DR STE 202
LAUREL
MD
207083287
Practice Location Phone/Fax
| Phone: | 2405811500 |
| Fax: | 2405134122 |
Provider Mailing Location
14502 GREENVIEW DR STE 202
LAUREL
MD
207083287
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |