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Organization

MD COUNSELING SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA MICHELE GRESHAM-WILSON PHD, LMSW, LCPC (CEO)
(443) 779-9901
Entity
Organization

Contact information

Practice address
924 E BALTIMORE STREET, FIRST FLOOR, STE 204-206, BALTIMORE, MD 21202-4736
(443) 779-9901
(443) 885-9482
Mailing address
924 E BALTIMORE ST STE 204-206, FIRST FLOOR, BALTIMORE, MD 21202-4736
(443) 779-9901
(443) 885-9482

Taxonomy

Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary

Other

Enumeration date
12/12/2019
Last updated
09/18/2025
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