Individual
ANGELA VINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, NCC, LPC
Contact information
Practice address
7613 STEMHART LN, HANOVER, MD 21076-2332
(757) 303-8068
Mailing address
PO BOX 277, ODENTON, MD 21113-0277
(757) 303-8068
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC5695
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103121000
—
MD
Enumeration date
04/18/2013
Last updated
03/22/2024
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