Individual provider · Type 1 NPI

Ebere Vivian Okorom

Mental Health Counselor · Waldorf, MD

NPI number 1245163781 Active

Practice location

3225 Old Washington Rd Ste 107
Waldorf, MD 20602-3309

Call (443) 447-6429 Map

Mailing address

PO Box 306
Cheltenham, MD 20623-0306

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLGP17903 (MD)

Mental Health Counselor: Definition to come...

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About NPI 1245163781

Ebere Vivian Okorom's National Provider Identifier is 1245163781, issued on Jun 4, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Waldorf, MD. The record was last updated on Jun 4, 2026.