Individual
ISAACBA DAVIES-CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
938 E SWAN CREEK RD STE 102, FORT WASHINGTON, MD 20744-5250
(240) 813-0015
Mailing address
938 E SWAN CREEK RD STE 102, FORT WASHINGTON, MD 20744-5250
(240) 813-0015
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LGP14844
MD
101Y00000X
Counselor
LGPC200001639
DC
101YM0800X
Mental Health Counselor
LGP14844
MD
101YM0800X
Mental Health Counselor
LGPC200001639
DC
101YP2500X
Professional Counselor
Primary
LGP14844
MD
101YP2500X
Professional Counselor
LGPC200001639
DC
Other
Enumeration date
01/15/2024
Last updated
01/27/2025
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