Individual
DINA ISMAILOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
27 MELLOR AVE, CATONSVILLE, MD 21228-5106
(215) 964-0089
Mailing address
27 MELLOR AVE, CATONSVILLE, MD 21228-5106
(215) 964-0089
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LGP10882
MD
101YP2500X
Professional Counselor
Primary
LC13337
MD
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/16/2018
Last updated
03/02/2023
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