Healthcare Provider Details

I. General information

NPI: 1588573570
Provider Name (Legal Business Name): DARLYNNES REYES ALONZO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 W WASHINGTON ST STE 503
HAGERSTOWN MD
21740-4520
US

IV. Provider business mailing address

20 W WASHINGTON ST STE 503
HAGERSTOWN MD
21740-4520
US

V. Phone/Fax

Practice location:
  • Phone: 301-393-3949
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLGP18471
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: