Individual
DR. ANGEL B HAKIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
1604 GUNPOWDER RIDGE RD, JOPPA, MD 21085-5430
(912) 920-0737
Mailing address
PO BOX 129, JOPPA, MD 21085-0129
(912) 920-0737
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LGP9421
MD
103TC0700X
Clinical Psychologist
Primary
LCPC11283
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LCPC11283
—
MD
Enumeration date
09/06/2019
Last updated
02/04/2022
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