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Organization

MD COUNSELING SERVICES LLC

Active
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Organization

MD COUNSELING SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA M WILSON PHD, LMSW, LCPC (CEO)
(443) 779-9901
Entity
Organization

Contact information

Practice address
924 E BALTIMORE ST, FIRST FLOOR SUITES 204-206, BALTIMORE, MD 21202-4736
(443) 779-9901
(443) 885-9482
Mailing address
4713 THISTLE HILL DR, ABERDEEN, MD 21001-2651
(443) 779-9901
(443) 885-9482

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
NULL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—

Other

Enumeration date
12/31/2019
Last updated
03/11/2026
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