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MRS. ITSELDA MARIA SHAND-GAINES LPC, LCPC

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1992136592

Individual Registrant:
MRS. ITSELDA MARIA SHAND-GAINES LPC, LCPC
Gender: F
Sole Proprietor

Location and contact information for practice:
1629 K ST, NW  WASHINTON, DC 20006 US
Tel: 202-835-0680  Fax: --

Contact information for business:
15600 TAYLERTON LN  BRANDYWINE, MD 20613-3812 US
Tel: 301-922-7525  Fax: --

Registration Information:
NPI: 1992136592
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
DCPRC14308
N101YP2500XBehavioral Health & Social Service Providers
Counselor
MDLC5385

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
DISTRICT OF COLUMBIA LICENSEPRC14308DC01
STATE LICENSELC5385MD01




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