Individual
LAKEISHA EBONIE HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
2000 ALICE AVE APT 103, OXON HILL, MD 20745-3580
(202) 373-8360
Mailing address
2000 ALICE AVE APT 103, OXON HILL, MD 20745-3580
(202) 373-8360
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP11885
MD
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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