Individual
ELSA KEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
7107 13TH AVE, TAKOMA PARK, MD 20912-7068
(207) 712-4838
Mailing address
7107 13TH AVE, TAKOMA PARK, MD 20912-7068
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC6613
ME
Other
Enumeration date
03/06/2020
Last updated
08/13/2025
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