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Organization

MD COUNSELING SERVICES LLC

Active
Parent organization
MDCOUNSELING SERVICES LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MDCOUNSELING SERVICES LLC
Authorized official
DR. LISA MICHELE WILSON PHD, LMSW, LCPC (CEO)
(443) 779-9901
Entity
Organization

Contact information

Practice address
924 E BALTIMORE ST STE 204-206, BALTIMORE, MD 21202-4736
(443) 779-9901
(443) 885-9482
Mailing address
924 E BALTIMORE ST STE 204-206, BALTIMORE, MD 21202-4736
(443) 779-9901
(443) 885-9482

Taxonomy

Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary

Other

Enumeration date
07/16/2019
Last updated
07/16/2019
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