| NPI | 1780710657 |
|---|---|
| Doing Business As | LONESPIRIT COUNSELING CENTER |
| Entity Type | Organization |
| Authorized Contact | DIANE M MCKISSICK Owner 301-373-7750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 07889) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |