Individual
MRS. ITSELDA MARIA SHAND-GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCPC
Contact information
Practice address
1629 K ST, NW, WASHINTON, DC 20006
(202) 835-0680
Mailing address
15600 TAYLERTON LN, BRANDYWINE, MD 20613-3812
(301) 922-7525
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LC5385
MD
101YP2500X
Professional Counselor
Primary
PRC14308
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LC5385
STATE LICENSE
MD
01
—
PRC14308
DISTRICT OF COLUMBIA LICENSE
DC
Enumeration date
12/06/2013
Last updated
07/02/2020
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