person
Takisha Wilson, LGPC
Mental Health Counselor in Rosedale, Maryland
NPI 1003579764

Takisha Wilson is a Mental Health Counselor based in Rosedale, MD and is specialized in Mental Health. Takisha Wilson practices in Rosedale, MD and has the professional credentials of LGPC. The NPI Number for Takisha Wilson is 1003579764 and holds a License No. LGP117688 (Maryland).

The current practice location address for Takisha Wilson is 9627 Philadelphia Rd Ste 160, Rosedale, MD and can be reached out via phone at 410-780-5203.

Location: 9627 Philadelphia Rd Ste 160, Rosedale, MD, 21237-4157
person
Provider Profile Details
NPI Number
1003579764
Provider Name
Takisha Wilson
Credential
LGPC
Provider Entity Type
Individual
Gender
Female
Address
9627 Philadelphia Rd Ste 160, Rosedale, MD, 21237-4157
Phone Number
410-780-5203
Fax Number
Provider Enumeration Date
10/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9627 Philadelphia Rd Ste 160
City
State
Zip
21237-4157
Phone Number
410-780-5203
Fax Number
person
Provider Business Mailing Address Details
Address
9627 Philadelphia Rd Ste 160
City
State
Zip
21237-4157
Phone Number
410-780-5203
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LGP117688 (Maryland)
Definition
Definition to come...
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