Individual
LEVICIA KARISHMA HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
1802 BRIGHTSEAT RD, HYATTSVILLE, MD 20785-4232
(240) 249-0989
Mailing address
603 VILLAGE GROVE DR UNIT 303, FREDERICK, MD 21703-4532
(240) 422-4669
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP15167
MD
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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