Individual provider · Type 1 NPI

Maryann Etukudo

Mental Health Counselor · Laurel, MD

NPI number 1073115358 Active

Practice location

14625 Baltimore Ave # 817
Laurel, MD 20707-4902

Call (240) 806-8401 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1073115358

Maryann Etukudo's National Provider Identifier is 1073115358, issued on Nov 12, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Laurel, MD. The record was last updated on Nov 12, 2020.