Wilson, Lagail Jeanean

Wilson, Lagail Jeanean is an sole proprietor health care provider with primary practice located at 15717 Crabbs Branch Way Ste 229 , Rockville MD 20855-6650. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Wilson, Lagail Jeanean can be contacted via phone (301) 637-2792.

Contact Information

Primary practice address
15717 Crabbs Branch Way Ste 229 Rockville MD 20855-6650
Phone: (301) 637-2792
Fax: (844) 375-0213
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 2852 Kansas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 2794 Kansas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LCM756 Maryland

Profile Details

NPI number 1356899546
LBN Legal business name Wilson, Lagail Jeanean
Credentials LCMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2016
Last updated Feb 18th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356899546 NPPES
Kansas MEDICAID 201229790A

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