Crystal Osuchukwu, LCPC | |
1300 Mccormick Dr, Upper Marlboro, MD 20774 | |
(301) 772-1200 | |
Not Available |
Full Name | Crystal Osuchukwu |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1300 Mccormick Dr, Upper Marlboro, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609337146 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LG8765 (Maryland) | Secondary |
101YP2500X | Counselor - Professional | LC10637 (Maryland) | Primary |
Entity Name | Luminis Health Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649248485 PECOS PAC ID: 2860447315 Enrollment ID: O20080707000490 |
Mailing Address | Practice Location Address |
---|---|
Crystal Osuchukwu, LCPC 6908 Stoddert Ln, Landover, MD 20785-1965 Ph: (443) 995-3602 | Crystal Osuchukwu, LCPC 1300 Mccormick Dr, Upper Marlboro, MD 20774 Ph: (301) 772-1200 |
Ayrel J Funderburk, Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 Azalea Ct, Upper Marlboro, MD 20774 Phone: 856-889-4278 | |
Herenia Munoz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4212 Largo Rd, Upper Marlboro, MD 20772 Phone: 301-917-7511 | |
Latrice Jane' Nesbit, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12313 Foyette Ln, Upper Marlboro, MD 20772 Phone: 980-420-0230 | |
Kier Gaines, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10926 Meridian Hill Way, Upper Marlboro, MD 20772 Phone: 202-413-3932 | |
Brittany Simms, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1401 Mercantile Ln Ste 433, Upper Marlboro, MD 20774 Phone: 240-681-9721 | |
Ilanna Brookins-jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Harry S Truman Dr Apt 33, Upper Marlboro, MD 20774 Phone: 856-981-1570 | |
Crystal Theresa Small, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9500 Medical Center Dr, Upper Marlboro, MD 20774 Phone: 202-831-2865 |