Individual
MS. ADESUWA IZEVBIGIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
4355 NICOLE DR, LANHAM, MD 20706-4349
(301) 429-2171
Mailing address
1304 FAIRLAKES PL, BOWIE, MD 20721-3100
(301) 318-0141
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
0701011508
VA
101YP2500X
Professional Counselor
LC5466
MD
101YP2500X
Professional Counselor
PRC200001447
DC
Other
Enumeration date
05/20/2013
Last updated
07/14/2022
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