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7676 New Hampshire Ave Suite 330 Takoma Park MD 20912-7512 | |
| (301) 326-1357 | |
| (301) 408-1828 |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7676 New Hampshire Ave, Takoma Park, Maryland |
| Authorized Official Name and Position | Felicia Uduak Bassey-akamune (CEO) |
| Authorized Official Contact | 3013261357 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7676 New Hampshire Ave Suite 330 Takoma Park MD 20912-7512 Ph: (301) 326-1357 | 7676 New Hampshire Ave Suite 330 Takoma Park MD 20912-7512 Ph: (301) 326-1357 |
| NPI Number | 1114383304 |
|---|---|
| Provider Enumeration Date | 01/05/2016 |
| Last Update Date | 01/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114383304 | NPI | - | NPPES |
| 4239423-00 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 00451 (Maryland) | Primary |
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