Individual
LISANDRA CAVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5603 WALTER HERRERA WAY, UPPER MARLBORO, MD 20772-3616
(716) 725-7870
Mailing address
5603 WALTER HERRERA WAY, UPPER MARLBORO, MD 20772-3616
(716) 725-7870
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP17396
MD
Other
Enumeration date
12/23/2025
Last updated
12/23/2025
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