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Keesha Vines, LGPC
Counselor in Charlotte Hall, Maryland
NPI 1992150841

Keesha Vines is a Counselor based in Waldorf, MD. Keesha Vines practices in Charlotte Hall, MD and has the professional credentials of LGPC. The NPI Number for Keesha Vines is 1992150841 and holds a License No. LGP6116 (Maryland).

The current practice location address for Keesha Vines is 30007 Business Center Dr, Charlotte Hall, MD and can be reached out via phone at 301-997-1300.

Location: 30007 Business Center Dr, Charlotte Hall, MD, 20603-4332
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992150841
Provider Name
Keesha Vines
Credential
LGPC
Provider Entity Type
Individual
Gender
Female
Address
30007 Business Center Dr, Charlotte Hall, MD, 20603-4332
Phone Number
301-997-1300
Fax Number
Provider Enumeration Date
04/28/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
30007 Business Center Dr
City
Charlotte Hall
State
Maryland
Zip
20622-3101
Phone Number
301-997-1300
Fax Number
person
Provider Business Mailing Address Details
Address
30007 Business Center Dr
City
Charlotte Hall
State
Maryland
Zip
20622-3101
Phone Number
301-997-1300
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LGP6116 (Maryland)
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.
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