Individual
ELISSA SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
9701 KEYSVILLE RD, US ROUTE 15 AND KEYSVILLE ROAD, EMMITSBURG, MD 21727-8619
(301) 447-2361
(301) 447-3715
Mailing address
PO BOX 136, 9701 KEYSVILLE ROAD, US ROUTE 15 AND KEYSVILLE ROAD, EMMITSBURG, MD 21727-0136
(301) 447-2361
(301) 447-3715
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC3747
MD
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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