Organization
GILEAD CHRISTIAN COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA ANNE WILBANKS LCSW-C (OWNER)
(443) 404-7366
Entity
Organization
Contact information
Practice address
950 CALVERT BEACH RD, SAINT LEONARD, MD 20685-2843
(443) 404-7366
Mailing address
PO BOX 282, PRINCE FREDERICK, MD 20678-0282
(443) 404-7366
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14689
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
766938
—
MD
Enumeration date
07/23/2015
Last updated
07/23/2015
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