Individual provider · Type 1 NPI

Charlisa Feliesh Addison, ADT TRAINEE

Counselor · Edgewood, MD

NPI number 1679482392 Active

Practice location

1308 Business Center Way Ste 102
Edgewood, MD 21040-1504

Call (667) 777-1231 Map

Mailing address

1315 Gold Meadow Way Apt 101
Edgewood, MD 21040-1523

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X4143 (MD)

Counselor: 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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About NPI 1679482392

Charlisa Feliesh Addison, ADT TRAINEE's National Provider Identifier is 1679482392, issued on Sep 7, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Edgewood, MD. The record was last updated on Sep 7, 2026.