person
Edison David Icaza Galarza, LGPC
Mental Health Counselor in Rockville, Maryland
NPI 1508623026

Edison David Icaza Galarza is a Mental Health Counselor based in Rockville, MD and is specialized in Mental Health. Edison David Icaza Galarza practices in Rockville, MD and has the professional credentials of LGPC. The NPI Number for Edison David Icaza Galarza is 1508623026 and holds a License No. LGP14313 (Maryland).

The current practice location address for Edison David Icaza Galarza is 1307 Seven Locks Rd, Rockville, MD and can be reached out via phone at 240-777-9862.

Location: 1307 Seven Locks Rd, Rockville, MD, 20854-2909
person
Provider Profile Details
NPI Number
1508623026
Provider Name
Edison David Icaza Galarza
Credential
LGPC
Provider Entity Type
Individual
Gender
Male
Address
1307 Seven Locks Rd, Rockville, MD, 20854-2909
Phone Number
240-777-9862
Fax Number
Provider Enumeration Date
03/01/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1307 Seven Locks Rd
City
State
Zip
20854-2909
Phone Number
240-777-9862
Fax Number
person
Provider Business Mailing Address Details
Address
1307 Seven Locks Rd
City
State
Zip
20854-2909
Phone Number
240-777-9862
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LGP14313 (Maryland)
Definition
Definition to come...
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