Individual
MS. ALISA C FAILOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
14440 CHERRY LANE CT, LAUREL, MD 20707-4946
(301) 793-3425
Mailing address
6906 HEIDELBURG RD, LANHAM, MD 20706-4603
(301) 793-3425
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC4257
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262787181
—
MD
Enumeration date
07/29/2011
Last updated
11/28/2012
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