Individual
LEILANI CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGMFT
Contact information
Practice address
9627 PHILADELPHIA RD STE 160, ROSEDALE, MD 21237-4157
(410) 780-5203
(410) 780-5205
Mailing address
9627 PHILADELPHIA RD STE 160, ROSEDALE, MD 21237-4157
(410) 780-5203
(410) 780-5205
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1153
MD
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/13/2022
Last updated
07/06/2026
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