Individual provider · Type 1 NPI

Keesha Vines, L.G.P.C.

Counselor · Charlotte Hall, MD

NPI number 1992150841 Active

Practice location

30007 Business Center Dr
Charlotte Hall, MD 20622-3101

Call (301) 997-1300 Map

Mailing address

6716 Flying Squirrel Ct
Waldorf, MD 20603-4332

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XLGP6116 (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 1992150841

Keesha Vines, L.G.P.C.'s National Provider Identifier is 1992150841, issued on Apr 28, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Charlotte Hall, MD. The record was last updated on Apr 28, 2016.