Individual
ANAH NISA ALIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LGPC, NCC
Contact information
Practice address
1401 MERCANTILE LN STE 500A, UPPER MARLBORO, MD 20774-4301
(202) 746-5838
Mailing address
3120 15TH ST S, ARLINGTON, VA 22204-4335
(240) 485-9193
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LGP17224
MD
101YM0800X
Mental Health Counselor
Primary
LGPC200012544
DC
Other
Enumeration date
10/20/2025
Last updated
10/31/2025
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