| Doctor Name: | MS. JOSEPHINE DYKES STATON |
| NPI Number: | 1598058034 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | PRC236 |
| Business Practice Address: | 20411 Lindos Ct N/a Montgomery Village, MD - 208864367 |
| Business Phone Number: | 2025812445 |
| Business Fax Number: | 2025812459 |
| Mailing Address: | 20411 Lindos Ct, N/a MONTGOMERY VILLAGE |
| State: | MD |
| Postal Code: | 208864367 |
| Phone Number: | 2025812445 |
| Fax Number: | 2025812459 |
| NPI Enumeration Date: | 05/17/2011 |
| NPI Last Update Date: | 05/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PRC236 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |