Individual provider · Type 1 NPI
Itselda Maria Shand-Gaines, LPC, LCPC
Professional Counselor · Washinton, DC
NPI number
1992136592
Active
Practice location
1629 K St, NW
Washinton, DC 20006
Mailing address
15600 Taylerton Ln
Brandywine, MD 20613-3812
Other practice locations
- 10665 Stanhaven Pl Ste 300A, White Plains, MD 20695-3069 · (202) 630-2796
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | PRC14308 (DC) |
| Professional Counselor | 101YP2500X | LC5385 (MD) |
Professional Counselor: Definition to come...
About NPI 1992136592
Itselda Maria Shand-Gaines, LPC, LCPC's National Provider Identifier is 1992136592, issued on Dec 6, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Washinton, DC. The record was last updated on Jul 2, 2020.