MEDICARE: MS. DOLORES ANN ACQUISTA LCMFT

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
1	106H00000X	Marriage & Family Therapist	LCM175	MD

General Provider Information

NPI Number	:	1962603720
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DOLORES ANN ACQUISTA LCMFT

Provider Business Mailing Address
First Line	:	8615 BRANDT PL
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-3721
Country	:	US
Telephone Number	:	301-633-6499
Fax Number	:

Provider Business Practice Location Address
First Line	:	8615 BRANDT PL
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-3721
Country	:	US
Telephone Number	:	301-633-6499
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2007
Last Update Date	:	11/03/2025

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