Individual provider · Type 1 NPI

Austin Widjaja

Mental Health Counselor · Germantown, MD

NPI number 1083557441 Active

Practice location

20410 Observation Dr Ste 108
Germantown, MD 20876-6419

Call (240) 296-6037 Map

Mailing address

18420 Kingshill Rd
Germantown, MD 20874-2210

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1083557441

Austin Widjaja's National Provider Identifier is 1083557441, issued on Apr 10, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Germantown, MD. The record was last updated on Apr 10, 2026.