Individual
DIANA ANDREA GAYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
4500 BLACK ROCK RD STE 103, HAMPSTEAD, MD 21074-2649
(877) 806-1501
Mailing address
19619 CRYSTAL ROCK DR APT 23, GERMANTOWN, MD 20874-4862
(240) 264-9819
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP13409
MD
101YP2500X
Professional Counselor
Primary
LC17745
MD
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/23/2019
Last updated
05/13/2026
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