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NPI Code Detail

MEDICARE: LENA LOIS DETCHOUA TCHAMACO LGPC

MEDICARE:   LENA LOIS  DETCHOUA TCHAMACO  LGPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorLGP17106MD

General Provider Information

NPI Number : 1659146124
Entity Type Code : Individual
Provider Name (Legal Business Name) : LENA LOIS DETCHOUA TCHAMACO LGPC
Provider Business Mailing Address
First Line : 9301 ANNAPOLIS RD
Second Line :
City : LANHAM
State : MD
Zip : 20706-3115
Country : US
Telephone Number : 855-324-0885
Fax Number :
Provider Business Practice Location Address
First Line : 20410 OBSERVATION DR STE 212
Second Line :
City : GERMANTOWN
State : MD
Zip : 20876-4068
Country : US
Telephone Number : 240-296-6353
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2023
Last Update Date : 12/03/2025

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Directions to “ LENA LOIS DETCHOUA TCHAMACO LGPC” Practice Location

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