Organization
DIANE M.MCKISSICK, L.C.S.W.-C., LTD
Active
Other names
LoneSpirit Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE M MCKISSICK LSCW-C (OWNER)
(301) 373-7750
Entity
Organization
Contact information
Practice address
41201 FRIENDSHIP CT, MECHANICSVILLE, MD 20659-3877
(301) 373-7750
(301) 373-2626
Mailing address
41201 FRIENDSHIP CT, MECHANICSVILLE, MD 20659-3877
(301) 373-7750
(301) 373-2626
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
07889
MD
Other
Enumeration date
02/26/2007
Last updated
08/22/2020
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