Individual
MS. KATHLEEN FAITH WIERSEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
7100 BALTIMORE AVE, SUITE 207, COLLEGE PARK, MD 20740
(301) 704-8120
Mailing address
7100 BALTIMORE AVENUE, SUITE 207, COLLEGE PARK, MD 20740
(301) 704-8120
(301) 779-7000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC0913
MD
Other
Enumeration date
10/02/2006
Last updated
03/10/2011
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