Individual provider · Type 1 NPI

David Imamu Defoe

Mental Health Counselor · Laurel, MD

NPI number 1124452123 Active

Practice location

14502 Greenview Dr Ste 202
Laurel, MD 20708-3287

Call (301) 821-0049 Map

Fax (240) 513-4122

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLC6147 (MD)
Professional Counselor 101YP2500XLC6147 (MD)

Mental Health Counselor: Definition to come...

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About NPI 1124452123

David Imamu Defoe's National Provider Identifier is 1124452123, issued on Aug 26, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Laurel, MD. The record was last updated on Jun 13, 2022.