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Lisa Wilks, MA,LPC,LCPC
Counselor in Largo, Maryland
NPI 1598125155

Lisa Wilks is a Counselor based in Largo, MD. Lisa Wilks practices in Largo, MD and has the professional credentials of MA,LPC,LCPC. The NPI Number for Lisa Wilks is 1598125155 and holds a License No. PRC14749 (Maryland).

The current practice location address for Lisa Wilks is 1300 Mercantile Ln Ste 100M, Largo, MD and can be reached out via phone at 202-600-1403.

Location: 1300 Mercantile Ln Ste 100M, Largo, MD, 20774-5327
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598125155
Provider Name
Lisa Wilks
Credential
MA,LPC,LCPC
Provider Entity Type
Individual
Gender
Female
Address
1300 Mercantile Ln Ste 100M, Largo, MD, 20774-5327
Phone Number
202-600-1403
Fax Number
Provider Enumeration Date
02/25/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LC7708 01 MD LCPC
institution
Provider Business Practice Location Address Details
Address
1300 Mercantile Ln Ste 100M
City
Largo
State
Maryland
Zip
20774-5390
Phone Number
202-600-1403
Fax Number
person
Provider Business Mailing Address Details
Address
1300 Mercantile Ln Ste 100M
City
Largo
State
Maryland
Zip
20774-5390
Phone Number
202-600-1403
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
PRC14749 (District of Columbia)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LC7708 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
PRC14749 (District of Columbia)
Definition
Definition to come...
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