Provider Demographics
NPI:1902506728
Name:ISAACSON, ESMA (LGPC)
Entity Type:Individual
Prefix:
First Name:ESMA
Middle Name:
Last Name:ISAACSON
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12429 SURREY CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-6247
Mailing Address - Country:US
Mailing Address - Phone:202-492-6859
Mailing Address - Fax:
Practice Address - Street 1:12429 SURREY CIRCLE DR
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-6247
Practice Address - Country:US
Practice Address - Phone:202-492-6859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-09
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty