Provider Demographics
NPI:1528518578
Name:JAMES, ALLISON (LCPC)
Entity type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 INDUSTRIAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20602-2708
Mailing Address - Country:US
Mailing Address - Phone:301-645-1837
Mailing Address - Fax:
Practice Address - Street 1:75 INDUSTRIAL PARK DR
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602-2708
Practice Address - Country:US
Practice Address - Phone:301-645-1837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-13
Last Update Date:2017-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP7154101YP2500X
MDLC7809101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional