Individual
LISA S ELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 WOODLARK DRIVE, FORESTVILLE, MD 20747
(301) 875-7069
Mailing address
1211 WOODLARK DRIVE, FORESTVILLE, MD 20747
(301) 875-7069
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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